title: Unexpected cerebrospinal fluid rhinorrhea after a spinal anesthesia.
abstract: A 47-year-old woman presented with a left-sided watery nasal discharge persisting for 3 weeks after an orthopedic operation using spinal anesthesia. The testing of the nasal fluid for β-2 transferrin confirmed that the leakage was cerebrospinal fluid (CSF). The computed tomographic cisternography revealed a left-sided bone defect in the cribriform plate. Endonasal approach was performed for closing the defect. At 3-month follow-up, CSF rhinorrhea had not recurred. In this report, we present an unexpected CSF rhinorrhea after a spinal anesthesia and discuss the reason of spontaneous leak after spinal anesthesia, as well as discuss current diagnosis and management of CSF rhinorrhea with the composite graft.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Fatih University Faculty of Medicine, Ankara, Turkey.
authors.forename: Kadriye Serife
authors.initials: KS
authors.lastname: Ugur
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gunduz
authors.forename: Hanifi
authors.initials: H
authors.lastname: Kurtaran
authors.forename: Nebil
authors.initials: N
authors.lastname: Ark
authors.forename: Ozlem
authors.initials: O
authors.lastname: Vuran
authors.forename: Alper
authors.initials: A
authors.lastname: Yuksel
mesh_terms: D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001847:Bone Diseases / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology* / Q000601:surgery; D004724:Endoscopy; D005004:Ethmoid Bone / Q000601:surgery; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D014014:Tissue Adhesives / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014168:Transferrin / Q000032:analysis; D014420:Turbinates / Q000601:surgery
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D014168:Transferrin