title: Ventriculoperitoneal shunt strategy for cerebrospinal fluid rhinorrhea repair: a case report and review of the literature.
abstract: We present a 10-year-old boy with a greater than 5-year history of cerebrospinal fluid rhinorrhea. He experienced nine episodes of bacterial meningitis and underwent four surgical repairs, including two endoscopic repairs via the lateral nasal cavity, a craniotomy repair via forehead epidural, and endoscopic repair in combination with a ventriculoperitoneal shunt. The first three surgeries failed, but the fourth was successful, with no recurrence during 2.5 years of follow-up. We suggest that ventriculoperitoneal shunts be considered for refractory recurrent cerebrospinal fluid rhinorrhea, particularly in patients after multiple failures of conventional surgical repair, to reduce intracranial hypertension caused by long-term chronic cerebrospinal fluid compensatory production.
authors.affiliation: Department of Neurology, Children's Hospital Affiliated With Soochow University, Suzhou, China. tjhzsh@126.com
authors.forename: Jihong
authors.initials: J
authors.lastname: Tang
authors.forename: Yuxia
authors.initials: Y
authors.lastname: Zhu
authors.forename: Bingbing
authors.initials: B
authors.lastname: Zhang
authors.forename: Qing
authors.initials: Q
authors.lastname: Gu
authors.forename: Yang
authors.initials: Y
authors.lastname: Li
mesh_terms: D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology; D008297:Male; D017287:Ventriculoperitoneal Shunt / Q000379:methods*