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Idiopathic diffuse erosion of the skull base presenting as cerebrospinal fluid rhinorrhoea

Published online by Cambridge University Press:  29 June 2007

P. J. Conboy ,
I. J. M. Johnson ,
T. Jaspan  and
N. S. Jones
P. J. Conboy
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, University Hospital, Nottingham, UK.
I. J. M. Johnson
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, University Hospital, Nottingham, UK.
T. Jaspan
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, University Hospital, Nottingham, UK.
N. S. Jones*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, University Hospital, Nottingham, UK.
*
Address for correspondence: N. S. Jones, F.R.C.S., Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, University Hospital, NottinghamNG7 2UH.
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Abstract

We present an unusual case of generalized erosion of the skull base. We have not found a similar case reported in the world literature. The presenting symptom was spontaneous cerebrospinal fluid (CSF) rhinorrhoea which arose from a bony defect associated with herniation of the right temporal lobe into the sphenoid sinus. We discuss the management of such a case including imaging of the skull base and the endoscopic repair of the bony defect.

Keywords

SkullEncephalocoeleParanasal sinusesCerebrospinal rhinorrhoea
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 7 , July 1998 , pp. 679 - 681
Copyright
Copyright © JLO (1984) Limited 1998

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References

Abrahams, J. J., Eklund, J. A. (1995) Diagnostic radiology of the cranial base. Clinics in Plastic Surgery 22 (3): 373–405.CrossRefGoogle ScholarPubMed
Dodson, E. E., Gross, C. W., Swerdloff, J. L., Gustafson, L. M. (1994) Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea and skull base defects: a review of twenty-nine cases. Otolaryngology - Head and Neck Surgery 111: 600–605.Google ScholarPubMed
Dohlman, G. (1948) Spontaneous cerebrospinal rhinorrhoea. Ada Otolaryngologica 67 (Supp): 20–23.CrossRefGoogle ScholarPubMed
Frankel, D. G., Lewin, J. S., Cohen, B. (1997) Massive osteolysis of the skull base. Pediatric Radiology 27: 265–267.CrossRefGoogle ScholarPubMed
Hamlin, J. A., Hasso, A. N. (1994) Magnetic resonance imaging of the skull base. Topics in Magnetic Resonance Imaging 6(3): 183–201.CrossRefGoogle ScholarPubMed
Hughes, R. G. M., Jones, N. S., Robertson, I. J. A. (1997) The endoscopic treatment of cerebrospinal fluid rhinorrhoea: the Nottingham experience. Journal of Laryngology and Otology 111: 125–128.CrossRefGoogle ScholarPubMed
Klastersky, J., Sadeghi, M., Brihaye, J. (1976) Antimicrobial prophylaxis in patients with rhinorrhea or otorrhea: a double-blind study. Surgical Neurology 6: 111–114.Google ScholarPubMed
Laine, F. J., Nadel, L., Braun, I. F. (1990) CT and MR imaging of the central skull base. Radiographics 10(5): 797–821.CrossRefGoogle Scholar
Lanza, D. C., O'Brien, D. A., Kennedy, D. W. (1996) Endoscopic repair of cerebrospinal fistulae and encephaloceles. Laryngoscope 106: 1119–1125.CrossRefGoogle ScholarPubMed
Lustrin, E. S., Robertson, R. L., Tilak, S. (1994) Normal anatomy of the skull base. Neuroimaging Clinics of North America 4 (3): 465–478.Google ScholarPubMed
MacGee, E. E., Cauthen, J. C., Brackett, C. E. (1970) Meningitis following acute traumatic cerebrospinal fluid fistula. Journal of Neurosurgery 33: 312–316.CrossRefGoogle ScholarPubMed
Madeline, L. E., Elster, A. D. (1995) Postnatal development of the central skull base: Normal variants. Radiology 196(3): 757–763.CrossRefGoogle ScholarPubMed
McCoy, G. (1963) Cerebrospinal rhinorrhoea: a comprehensive review and a definition of the responsibility of the rhinologist in diagnosis and treatment. Laryngoscope 73: 1125–1157.CrossRefGoogle Scholar
Pappas, D. G. Jr., Hammerschlag, P. E., Hammerschlag, M. (1993) Cerebrospinal fluid rhinorrhea and recurrent meningitis. Clinical Infectious Diseases 17: 364–368.CrossRefGoogle ScholarPubMed
Schick, B., Draf, W., Kahle, G., Weber, R., Wallenfang, T. (1997) Occult malformations of the skull base. Archives of Otolaryngology-Head and Neck Surgery 123(1): 77–80.CrossRefGoogle ScholarPubMed
Tolley, N. S., Lloyd, G. A. S., Williams, H. O. L. (1991) Radiological study of primary spontaneous CSF rhinorrhoea. Journal of Laryngology and Otology 105: 274–277.CrossRefGoogle ScholarPubMed
Wigand, M. E. (1981) Transnasal ethmoidectomy under endoscopical control. Rhinology 19: 7–15.Google ScholarPubMed