Spontaneous CSF rhinorrhoea due to temporosphenoidal encephalocele.
A 54-year-old woman was referred with spontaneous cerebrospinal fluid (CSF) rhinorrhoea. CT cisternography revealed a defect in the lateral wall of the left sphenoid sinus, with an anteromedial temperosphenoidal encephalocele associated with contrast leakage into the sinus. Subsequent monitoring showed raised intracranial pressure. Transcranial intradural repair of the encephalocele followed by lumboperitoneal shunt for the high pressure abolished the leakage of cerebrospinal fluid.
Kumar
R
R
Department of Neurosurgery, Regional Neurosciences Centre, Newcastle General Hospital, Newcastle-upon-Tyne, UK.
Jenkins
A
A
D000180:Acrylic Resins; D002559:Cerebrospinal Fluid Rhinorrhea / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004677:Encephalocele / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage; D006801:Humans; D008875:Middle Aged; D009779:Occlusive Dressings; D010743:Phospholipids; D011134:Polysaccharides; D013101:Sphenoid Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D013702:Temporal Lobe / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D000180:Acrylic Resins; D015718:Fibrin Tissue Adhesive; D010743:Phospholipids; D011134:Polysaccharides; C079670:zenoderm