title: Scintigraphic cerebral spinal fluid leak study in a child with recurrent meningitis after resection of a frontal meningocele.
abstract: An In-111 DTPA cerebrospinal fluid (CSF) leak study was performed on a 3-year-old boy admitted with recurrent meningitis. He was born with a congenital encephalocele that was surgically resected at 7 days-of-age. A residual skull floor defect with a recurrent tumor of the nasal radix was clinically suspected. Computed tomography and MRI scans could not confirm or rule out the presence of a CSF leak. The scintigraphic study clearly demonstrated a leak into the left naris. A large leptomeningeal cyst extending down into the left nares was resected and a defect in the left frontal calvarium, identified as the source of the CSF leak, was repaired at surgery.
authors.affiliation: Department of Medicine, North Shore University Hospital, Manhasset, New York, USA.
authors.forename: R H
authors.initials: RH
authors.lastname: Stern
authors.forename: I
authors.initials: I
authors.lastname: Zanzi
authors.forename: S
authors.initials: S
authors.lastname: Roland
authors.forename: A
authors.initials: A
authors.lastname: Rosenthal
authors.forename: P
authors.initials: P
authors.lastname: Perlman
authors.forename: D
authors.initials: D
authors.lastname: Margouleff
mesh_terms: D016080:Arachnoid Cysts / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002559:Cerebrospinal Fluid Rhinorrhea / Q000000981:diagnostic imaging* / Q000209:etiology; D002675:Child, Preschool; D003399:Craniotomy; D004677:Encephalocele / Q000601:surgery*; D006801:Humans; D007205:Indium Radioisotopes; D007231:Infant, Newborn; D008297:Male; D008581:Meningitis / Q000000981:diagnostic imaging*; D004369:Pentetic Acid; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012008:Recurrence
chemical_list: D007205:Indium Radioisotopes; D004369:Pentetic Acid