Amin Muhammad Umar, Ghaffar Abdul
Department of Radiology, CMH, Bahawalpur, Pakistan.
J Coll Physicians Surg Pak. 2006 May;16(5):378-80.
A case of CSF fistula, formed as a result of old fracture of the anterior cranial fossa, presented with recurrent meningitis and CSF rhinorrhea due to herniation of markedly dilated right frontal horn of lateral ventricle into the right ethmoid sinus through fractures of right frontal bone, cribriform plate of ethmoid and roof of orbit is reported. Attention was drawn to the CSF fistula only after recurrent meningitis and detailed imaging studies. Using a right frontal craniotomy approach, successful repair of the CSF fistula was performed and patient was discharged symptom-free.
一例因前颅窝陈旧性骨折形成的脑脊液瘘患者，因右侧侧脑室额角明显扩张，经右侧额骨、筛骨筛板及眶顶骨折处疝入右侧筛窦，出现反复性脑膜炎和脑脊液鼻漏。仅在反复性脑膜炎发作及详细影像学检查后才发现脑脊液瘘。采用右侧额部开颅手术入路，成功修复了脑脊液瘘，患者出院时症状消失。
