Idiopathic diffuse erosion of the skull base presenting as cerebrospinal fluid rhinorrhoea.
We present an unusual case of generalized erosion of the skull base. We have not found a similar case reported in the world literature. The presenting symptom was spontaneous cerebrospinal fluid (CSF) rhinorrhoea which arose from a bony defect associated with herniation of the right temporal lobe into the sphenoid sinus. We discuss the management of such a case including imaging of the skull base and the endoscopic repair of the bony defect.
Department of Otorhinolaryngology-Head and Neck Surgery, Queens Medical Centre, University Hospital, Nottingham, UK.
P J
PJ
Conboy
I J
IJ
Johnson
T
T
Jaspan
N S
NS
Jones
D000368:Aged; D002559:Cerebrospinal Fluid Rhinorrhea / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D004677:Encephalocele / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012886:Skull / Q000000981:diagnostic imaging / Q000473:pathology*; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed