Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 15088198

[The interesting case--case no. 59].

A Borrmann·M K Steuer-Vogt·A M Frank
View original source ↗Export metadata ↓

Abstract

UNLABELLED: Complications after endoscopic sinus surgery are rare and occur in about 0.5 % of all cases. However postoperative symptoms such as severe cephalgia and nasal discharge of clear fluids indicate a cerebrospinal fluid leakage. CASE: A 64 year-old-patient presented to our clinic four months after an endoscopic sinus surgery complaining of the two above mentioned symptoms for about 4 weeks. In a computed tomography study of the frontobasis there was no evidence of an osseous defect. An MRI of the head revealed a bilateral temporal fluid collection as seen in bilateral chronic subdural hematoma. Therefore the present illness was no consequence of the preceding surgery. CONCLUSION: Significant symptoms of severe postoperative complications after endoscopic sinus surgery can still be misleading. Therefore accurate diagnostic and imaging procedures are always crucial to support the initial diagnosis.

Explore related subjects

Cerebrospinal Fluid RhinorrheaDiagnosis, DifferentialEndoscopyHeadacheHematoma, Subdural, ChronicHumansMaleMaxillary SinusitisMiddle AgedPostoperative ComplicationsRecurrenceReoperationSphenoid SinusitisTrephiningCase ReportsEnglish AbstractJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

A Borrmann, M K Steuer-Vogt, A M Frank. 2004. [The interesting case--case no. 59].. https://doi.org/10.1055/s-2004-814392

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2005

Spontaneous cerebrospinal fluid rhinorrhoea due to temporosphenoidal encephalocele.

A 57-year old man was referred to our hospital with spontaneous cerebrospinal fluid (CSF) rhinorrhoea of 6 years duration. He had an episode of meningitis 2 months previously. CT cisternography and cranial MRI revealed a defect in the lateral wall of the sphenoid sinus, with an anteromedial temporosphenoidal encephalocele. Surgery was performed transcranially through a pterional approach. The temporal encephalocele was amputated, the sphenoid sinus obliterated and the dural defect repaired. Lumbar drainage was used for 5 days after surgery. Spontaneous CSF rhinorrhoea is only infrequently due to temporal encephalocele. Anteromedial temporosphenoidal encephaloceles are the least common type of temporal encephalocele, with only 12 reported in the literature.

Cerebrospinal Fluid Rhinorrhea↗
PubMed2005

Cerebrospinal fluid rhinorrhea: diagnosis and management.

Advances in imaging and endoscopic techniques have improved the ability to diagnose, localize, and treat in a less morbid fashion CSF leaks of the anterior skull base. An appreciation for the mechanism of leak and of the relationship between CSF production and absorption must be kept in mind when individualizing a repair. Increased CSF pressure caused by overproduction or underabsorption may result in persistence of a leak despite one's best efforts. Numerous advances in dural replacement grafts and tissue sealants have improved the ability to achieve watertight closure of the cranial vault. Microvascular techniques have allowed larger defects previously not reconstructable to be handled with relative ease by trained personnel. With expanded reconstructive techniques, the ability to handle larger disease processes of the skull base continues to expand.

Cerebrospinal Fluid Rhinorrhea↗