Extraordinarily long-term posttraumatic cerebrospinal fluid fistula.
Most posttraumatic cerebrospinal fluid (CSF) leakage is noticed by the patients with the first symptom, rhinorrhea. A 38-year-old woman presented with frequent clear continuous rhinorrhea and otorrhea for 5 years after basilar skull fracture. After this, meningitis was developed with subsequent CSF fistula. Her clinical symptom was improved by medical treatment. The dural defect and CSF leakage were not detected by computerized tomography (CT) cisternography. We report a rare case of persistent posttraumatic CSF fistula that continued for five years.
Kim
Hyoung Sub
HS
Department of Neurosurgery, Cheongju St. Mary's Hospital, Cheongju, Korea.
Hur
Jin Woo
JW
Lee
Jong Won
JW
Lee
Hyun Koo
HK