Kurien M, Mathew G A, Abraham S L, Irodi A
Department of ENT, Head and Neck Surgery, Speech and Hearing, Christian Medical College, Vellore, India.
J Laryngol Otol. 2011 Nov;125(11):1185-8. doi: 10.1017/S0022215111001940. Epub 2011 Aug 3.
Bilateral, spontaneous cerebrospinal fluid rhinorrhoea is extremely rare, with only one previous case report (this patient developed contralateral cerebrospinal fluid leakage four years after successful endoscopic repair). We present the first English-language report of simultaneous, bilateral, spontaneous cerebrospinal fluid rhinorrhoea.
To recommend a simple alternative endoscopic technique for simultaneous closure of bilateral, spontaneous cerebrospinal fluid rhinorrhoea.
A 47-year-old woman presented with recent onset of bilateral, spontaneous cerebrospinal fluid rhinorrhoea, a recent history suggestive of meningitis, and a past history of pneumococcal meningitis. Bony defects on both sides of the cribriform plate were closed endoscopically in the same anaesthetic session, via a uninasal, trans-septal approach, enabling both leakage sites to be sealed simultaneously.
In cases of bilateral, spontaneous cerebrospinal fluid rhinorrhoea, uninasal, trans-septal endoscopic repair is a simple and effective technique for simultaneous closure of cerebrospinal fluid leakage.
双侧自发性脑脊液鼻漏极为罕见，此前仅有一例病例报告（该患者在成功进行内镜修复四年后出现对侧脑脊液漏）。我们发表了首例关于双侧同时发生自发性脑脊液鼻漏的英文报告。
推荐一种简单的替代性内镜技术，用于同时封闭双侧自发性脑脊液鼻漏。
一名47岁女性，近期出现双侧自发性脑脊液鼻漏，近期病史提示患有脑膜炎，既往有肺炎球菌性脑膜炎病史。在同一次麻醉过程中，通过单鼻孔经鼻中隔入路，在内镜下封闭筛板两侧的骨质缺损，从而能够同时封闭两个漏口。
对于双侧自发性脑脊液鼻漏病例，单鼻孔经鼻中隔内镜修复是一种简单有效的同时封闭脑脊液漏的技术。
