Cerebrospinal fluid rhinorrhea after thermometer insertion through the nose.
Cerebrospinal fluid (CSF) rhinorrhea is a rare clinical condition. Most leaks either are caused by traumatic head injury or are a complication of surgical procedures on the base of the skull. CSF rhinorrhea from nasal tube placement has been reported previously. We report a case of nasal thermometer placement during anesthesia complicated by a CSF leakage. We reemphasize that any material--including thermometers, nasogastric tubes, and endotracheal tubes--should be directed posteriorly after introduction into the external naris.
Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, #325 Section 2, Chenggung Road, Neihu 114, Taipei, Taiwan, Republic of China.
Chang-Po
CP
Kuo
Chih-Shung
CS
Wong
Cecil O
CO
Borel
Chih-Ping
CP
Yang
Chun-Chang
CC
Yeh
Chueng-He
CH
Lu
Ching-Tang
CT
Wu
D000368:Aged; D000758:Anesthesia; D016025:Bone Transplantation; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology*; D005260:Female; D006801:Humans; D016343:Monitoring, Intraoperative; D009296:Nasal Cavity / Q000293:injuries*; D013821:Thermometers / Q000009:adverse effects*