Okada J, Tsuda T, Takasugi S, Nishida K, Tóth Z, Matsumoto K
Department of Neurological Surgery, School of Medicine, University of Tokushima, Japan.
Surg Neurol. 1991 Mar;35(3):213-7. doi: 10.1016/0090-3019(91)90073-i.
Two cases of acute meningitis and cerebrospinal fluid rhinorrhea, in which the head trauma responsible occurred 10 and 30 years before, are presented. Intraoperatively, the brain parenchyma was found to be plugged into the fractured anterior fossa. By debridement and duraplasty from an intradural approach, both patients were cured. Several precipitating factors could be responsible for this unusually late reopening of the fistula. The possible accidental causes could be coughing or undetected microtraumas, but in the long run, atrophy of tissues and consequent changes in brain compliance with aging may play a role.
本文报告了两例急性脑膜炎和脑脊液鼻漏病例，其相关头部外伤分别发生在10年前和30年前。术中发现脑实质嵌入前颅窝骨折处。通过硬膜内入路进行清创和硬脑膜成形术，两名患者均治愈。瘘管异常延迟开放可能有多种诱发因素。可能的意外原因可能是咳嗽或未被察觉的微创伤，但从长远来看，组织萎缩以及随之而来的随着年龄增长脑顺应性的变化可能起了作用。
