title: Spontaneous cerebrospinal fluid rhinorrhea as the primary manifestation of maxillary carcinoma--case report.
abstract: A 66-year-old man presented with a maxillary carcinoma manifesting as unrelenting spontaneous cerebrospinal fluid (CSF) rhinorrhea. Anterior craniofacial resection of the tumor was performed with multilayered repair of the dura mater. Maxillary carcinoma usually manifests as nasal blockage, epistaxis, or a mass lesion. This case highlights the necessity for a high index of suspicion for malignant tumor and the need for meticulous repair of the dura mater to seal off the CSF leakage.
authors.affiliation: Department of Surgery, Tata Memorial Hospital, Parel, Mumbai, India. kapathak@yahoo.com
authors.forename: Kumar Alok
authors.initials: KA
authors.lastname: Pathak
authors.forename: Dattatraya
authors.initials: D
authors.lastname: Muzumdar
authors.forename: Atul
authors.initials: A
authors.lastname: Goel
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000601:surgery; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology*; D004388:Dura Mater / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008441:Maxillary Neoplasms / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome