Sarkar Aniruddha, Sharma Nishi
Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Indian J Otolaryngol Head Neck Surg. 2016 Mar;68(1):126-9. doi: 10.1007/s12070-015-0963-z. Epub 2016 Jan 4.
Cerebrospinal fluid (CSF) leak occurs due to an abnormal communication between the subarachnoid space and sinonasal tract. We reported a retrospective case series of five patients of spontaneous CSF rhinorrhea. These patients were undergone successful repair with a single transnasal endoscopic procedure. This is seen in anterior part of the cribriform plate of middle aged obese females. HRCT paranasal sinus (1 mm cuts) was an effective modality of investigation in our study with ancillary investigations been CT cisternography. Endoscopic repair of CSF rhinorrhea carries a high success rate with very low morbidity rate.
脑脊液漏是由于蛛网膜下腔与鼻窦道之间出现异常连通所致。我们报告了一组五例自发性脑脊液鼻漏患者的回顾性病例系列。这些患者均通过单次经鼻内镜手术成功修复。这种情况多见于中年肥胖女性筛骨板前部。在我们的研究中，鼻窦高分辨率CT（1毫米层厚）是一种有效的检查方式，辅助检查为CT脑池造影。脑脊液鼻漏的内镜修复成功率高，发病率极低。
