Oleś Krzysztof, Składzien Jacek, Betlej Marek, Chrzan Robert, Mika Joanna
Department of Otolaryngology, Jagiellonian University, Medical College, Krakow, Poland; Department of Otolaryngology and Reconstructive Surgery, Institute of Oncology Gliwice Branch, The Maria Sklodowska-Curie Memorial Cancer Center, Gliwice, Poland.
Department of Otolaryngology, Jagiellonian University, Medical College, Krakow, Poland.
Wideochir Inne Tech Maloinwazyjne. 2016 Jan;10(4):593-9. doi: 10.5114/wiitm.2015.55676. Epub 2015 Nov 20.
We present a case report of a 60-year-old woman with a spontaneous cerebrospinal fluid leak at the clivus, obesity and no history of trauma. Follow-up imaging scans confirmed enlargement of the defect within the posterior clival framework to the size of 16 × 9 × 4 mm with a suspected meningocerebral hernia. The surgeons used the "two nostrils - four hands" endoscopic operating technique. The patient reported a history of cerebrospinal fluid leaks lasting for 3 years, with increasingly shorter leak-free periods and an increasing incidence of inflammatory complications. The patient recovered without complications, and she was discharged 14 days after the surgery. Good local outcome and improved patient condition were achieved postoperatively.
我们报告一例60岁女性病例，该患者斜坡处自发性脑脊液漏，患有肥胖症且无外伤史。后续影像学扫描证实斜坡后框架内缺损扩大至16×9×4mm大小，疑似存在脑膜脑疝。外科医生采用了“双鼻孔-四手”内镜手术技术。患者自述脑脊液漏病史长达3年，无脑脊液漏的间隔期越来越短，炎症并发症发生率不断增加。患者术后恢复顺利，无并发症发生，术后14天出院。术后取得了良好的局部效果，患者病情得到改善。
