Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-23T08:46:11.165Z Has data issue: false hasContentIssue false
  • English
  • Français

Cerebrospinal fluid in the rhinitis clinic

Published online by Cambridge University Press:  29 June 2007

M. J. Brockbank ,
D. Y. Veitch  and
H. G. Thomson
M. J. Brockbank*
Affiliation:
London
D. Y. Veitch
Affiliation:
London
H. G. Thomson
Affiliation:
London
*
Mr M. J. Brockbank, F.R.C.S., Senior Registrar, The Royal National Throat Nose and Ear Hospital, Grays Inn Road, London WC1X 8DA.
Get access Rights & Permissions [Opens in a new window]

Abstract

The Rhinitis Clinic at the Royal National Throat Nose and Ear Hospital is a direct referral clinic dealing with approximately 300 new cases a year. Last year three cases of spontaneous CSF rhinorrhoea were liagnosed. In each case long term topical steriod sprays had been prescribed and the patients had been eferred for further management of their ‘rhinitis’. Spontaneous CSF rhinorrhoea is potentially life hreatening as failure to recognize the problem may lead to the development of meningitis and possibly death. The diagnosis is simple and is based on a good clinical history which may be confirmed by chemical pathology. Radiology is often non-contributory, the site of the leak may have to be identified at surgery. Morbidity and mortality are reduced if an extracranial, trans-nasal/external ethmoid route for repair of the istula is employed.

Three case reports are presented and the diagnosis and management of CSF rhinorrhoea is reviewed.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 3 , March 1989 , pp. 281 - 283
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahmadi, J., Weiss, M. H., and Segall, H. D. (1985) Evaluation of cerebrospinal fluid rhinorrhea by metrizamide computed tomographic cysternography. Neurosurgery, 16: 54–60.Google Scholar
Dandy, W. E. (1926) Pneumoencephalus (Intracranial pneumatocoele or aerocoele). Archives of Surgery, 12: 949–982.CrossRefGoogle Scholar
Higbee, D. R. (1933) Notes on the treatment of cerebrospinal rhinorrhea. Trans American Laryngology, Rhinology and Otology Society Inc. 520.Google Scholar
Hirsch, O. (1952) Successful closure of cerebrospinal fluid rhinorrhoea by endonasal surgery. Archives of Otolaryngology, 56: 1–12.CrossRefGoogle ScholarPubMed
Hubbard, J. L., McDonald, T. J., Pearson, B. W. and Laws, E. R. (1985) Spontaneous cerebrospinal fludi rhinorrhoea: evolving concepts in diagnosis and surgical management based on the Mayo Clinic experience from 1970 through 1981. Neurosurgery, 16: 314–321.CrossRefGoogle Scholar
Kaufman, B., Nulsen, F. E., Weiss, M. H., Brodkey, J. S., White, R. J., and Sykora, G. G. (1977) Acquired spontaneous, non-traumatic normal-pressure cerebrospinal fluid fistulas originating from the middle fossa. Radiology, 122: 379–387.CrossRefGoogle Scholar
MacDonald, R. (1945) The occurrence of spontaneous cerebrospinal rhinorrhoea in the literature. Laryngoscope, 55: 552.CrossRefGoogle ScholarPubMed
McCoy, G. (1963) Cerebrospinal rhinorrhoea. Laryngoscope, 73; 1125–1157.CrossRefGoogle Scholar
McKinney, R. (1932) Traumatic pneumoencephalus. Archives of Otolaryngology, 41: 597.Google Scholar
Montgomery, W. V. (1966) Surgery for CSF rhinorrhoea and otorrhoea. Archives of Otolaryngology, 84: 92–104.Google Scholar
Thomson, S. and Negus, V. E. (1947) Diseases of the Nose and Throat 5th edn., Appleton-Century-Crofts Inc., New York. p. 105.Google Scholar
Thomson, St. C. (1899) The cerebrospinal fluid; its spontaneous escape from the nose. Cassel and Co. Ltd. London p.8.Google Scholar
Troland, C. E. (1960) The surgical treatment of spontaneous cerebrospinal rhinorrhoea. Archives of Otolaryngology, 72: 254.CrossRefGoogle Scholar