title: Spontaneous recovery of post-traumatic cerebrospinal fluid rhinorrhea following meningitis: A case report.
abstract: The aim of the present report was to present the patient with an anterior cranial base fracture who developed post-traumatic cerebrospinal fluid rhinorrhea, which recovered after onset of meningitis complication. A 26-year-old male patient who had a traffic accident one week ago was sent to our clinic because of his rhinorrhea persisting for 4 days. On cranial computed tomography, fracture of the left frontal skull base and sinus walls, a fracture line on temporal bone, parenchymal bleeding in the vicinity of the frontal sinus, subarachnoidal bleeding and left temporal extradural hematoma were detected. Then he underwent sinus wall repair and extradural hematoma was drained through bifrontal craniotomy. However, rhinorrhea persisted which resulted a deterioration in consciousness and he entered into a deep somnolent state. When his symptoms of meningitis became apparent, rhinorrhea of the patient disappeared. The patient transferred in intensive care unit and re-connected to a lumbar drainage system. On cerebral magnetic resonance imaging, regression of contrast-enhanced lesions localized in the left anterotemporal and frontal and in the regions lateral to the right trigon and medial to the right thalamus and in the right posteroparietal regions was observed. Despite repair of the anterior cranial fracture and lumbar drainage, rhinorrhea may persist. Herein, development of meningitis caused disappearing of rhinorrhea symptoms without any need for surgical intervention.
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Veli
authors: V
authors: Citisli
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Murat
authors: M
authors: Kocaoglu
authors: Department of İnfection Disease, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Ceyda
authors: C
authors: Necan
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Muhammet
authors: M
authors: İbrahimoglu
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Özkan
authors: Ö
authors: Celiker
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Eyüp
authors: E
authors: Baykara
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Mevci
authors: M
authors: Ozdemir
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Feridun
authors: F
authors: Acar
authors: Department of Neurosurgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors: Mehmet Erdal
authors: ME
authors: Coskun
keywords: Traumatic rhinorrhea; meningitis; smoking