Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-17T21:37:05.792Z Has data issue: false hasContentIssue false
  • English
  • Français

Synchronous spontaneous cerebrospinal fluid leaks in the nose and ear

Published online by Cambridge University Press:  29 August 2012

S P Schraven ,
S Bisdas  and
W Wagner
S P Schraven
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Germany Department of Otolaryngology, Head and Neck Surgery, University of Würzburg, Germany
S Bisdas
Affiliation:
Department of Diagnostic and Interventional Neuroradiology, University of Tübingen, Germany
W Wagner*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Germany
*
Address for correspondence: Dr Wolfgang Wagner, Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Elfriede-Aulhorn-Strasse 5, 72076 Tübingen, Germany Fax: +49 7071 29 4950 E-mail: w.wagner@med.uni-tuebingen.de
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The majority of spontaneous cerebrospinal fluid leaks occur at the anterior skull base; few cases at the temporal bone have been described. There have been no previous reports of synchronous leaks at the anterior skull base and temporal bone in the same patient.

Methods:

Case report and brief review of management of spontaneous cerebrospinal fluid leaks in the nose and ear.

Case report:

A 34-year-old, pregnant woman presented with watery nasal discharge and unilateral middle-ear effusion. The nasal and ear secretions both proved to be cerebrospinal fluid. Radiological imaging showed defects in both the ethmoid roof and the mastoid roof (middle cranial fossa). These defects were surgically closed using duraplasties.

Conclusion:

A literature review indicated that this is the first reported case of synchronous spontaneous cerebrospinal fluid leaks via the anterior skull base and temporal bone.

Keywords

Cerebrospinal Fluid LeakCerebrospinal Fluid OtorrheaCerebrospinal Fluid Rhinorrhea
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 11 , November 2012 , pp. 1186 - 1188
Copyright
Copyright © JLO (1984) Limited 2012

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

1 Wolf, G, Greistorfer, K, Stammberger, H. Endoscopic detection of cerebrospinal fluid fistulas with a fluorescence technique. Report of experiences with over 925 cases [in German]. Laryngorhinootologie 1997;76:588–94CrossRefGoogle ScholarPubMed
2 Lindstrom, DR, Toohill, RJ, Loehrl, TA, Smith, TL. Management of cerebrospinal fluid rhinorrhea: the Medical College of Wisconsin experience. Laryngoscope 2004;114:969–74CrossRefGoogle ScholarPubMed
3 Leonetti, JP, Marzo, S, Anderson, D, Origitano, T, Vukas, DD. Spontaneous transtemporal CSF leakage: a study of 51 cases. Ear Nose Throat 2005;84:700–6CrossRefGoogle ScholarPubMed
4 Wise, SK, Schlosser, RJ. Evaluation of spontaneous nasal cerebrospinal fluid leaks. Curr Opin Otolaryngol Head Neck Surg 2007;15:28–34 CrossRefGoogle ScholarPubMed
5 Durcan, FJ, Corbett, JJ, Wall, M. The incidence of pseudotumor cerebri. Population studies in Iowa and Louisiana. Arch Neurol 1988;45:875–7CrossRefGoogle ScholarPubMed
6 Dhungana, S, Sharrack, B, Woodroofe, N. Idiopathic intracranial hypertension. Acta Neurol Scand 2010;121:71–82 CrossRefGoogle ScholarPubMed
7 Hannerz, J, Ericson, K. The relationship between idiopathic intracranial hypertension and obesity. Headache 2009;49:178–84CrossRefGoogle ScholarPubMed
8 Tang, RA, Dorotheo, EU, Schiffman, JS, Bahrani, HM. Medical and surgical management of idiopathic intracranial hypertension in pregnancy. Curr Neurol Neurosci Rep 2004;4:398–409 CrossRefGoogle ScholarPubMed
9 Schlosser, RJ, Bolger, WE. Nasal cerebrospinal fluid leaks: critical review and surgical considerations. Laryngoscope 2004;114:255–65CrossRefGoogle ScholarPubMed
10 Ayanoglu, E, Uneri, C, Turoglu, T, Dogan, V. Reflux of nasopharyngeal content into middle ear through the eustachian tube. Eur Arch Otorhinolaryngol 2004;261:439–44CrossRefGoogle ScholarPubMed