Journal
JOURNAL OF CLINICAL NEUROSCIENCE
Volume 59, Issue -, Pages 350-352Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.jocn.2018.10.020
Keywords
Cerebrospinal fluid; Rhinorrhoea; Foramen rotundum
Categories
Ask authors/readers for more resources
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. (C) 2018 Elsevier Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available