Yared Jean, El Annan Jaafar
Department of Internal Medicine, Greater Baltimore Medical Center, Towson, Maryland, USA.
BMJ Case Rep. 2010 Sep 7;2010:bcr0120102659. doi: 10.1136/bcr.01.2010.2659.
Clear rhinorrhoea is a common symptom in patients with obstructive sleep apnoea (OSA), which may worsen with nasal continuous positive airway pressure treatment (nCPAP). However, rhinorrhoea can also be the presenting symptom of cerebrospinal fluid (CSF) leak, which is due to a communication between the subarachnoid space and the nasal cavity or sinuses. We report another case of a patient with OSA in whom CSF leak developed following the initiation of nCPAP treatment.
清涕是阻塞性睡眠呼吸暂停（OSA）患者的常见症状，在接受鼻持续气道正压通气治疗（nCPAP）时可能会加重。然而，流涕也可能是脑脊液（CSF）漏的首发症状，这是由于蛛网膜下腔与鼻腔或鼻窦之间存在交通所致。我们报告了另一例OSA患者，在开始nCPAP治疗后发生了脑脊液漏。
