Endoscopic transnasal repair of two cases of spontaneous cerebrospinal fluid fistula in the foramen rotundum.
Cerebrospinal fluid
Foramen rotundum
Rhinorrhoea
Journal
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
17
04
2018
accepted:
04
10
2018
pubmed:
8
11
2018
medline:
13
2
2019
entrez:
8
11
2018
Statut:
ppublish
Résumé
We report two female patients aged 16 and 33 who presented with spontaneous cerebrospinal fluid (CSF) rhinorrhoea. Beta-2 transferrin was positive in both cases. Initial high-resolution CT showed fluid in the maxillary sinus but no obvious bony defect. MR imaging revealed maxillary sinus cysts with high signal on T2 sequences. Endoscopic transnasal surgery with intrathecal fluorescein was undertaken and in both cases a leak was identified from foramen rotundum and repaired. Both patients are symptom free at 6 months. These cases highlight the rare occurrence of spontaneous CSF leak from the foramen rotundum, and how they can be effectively repaired using the endoscopic transnasal approach.
Identifiants
pubmed: 30401570
pii: S0967-5868(18)30669-6
doi: 10.1016/j.jocn.2018.10.020
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
350-352Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.