自发性复发性脑脊液鼻漏：1例罕见病例并文献复习
Spontaneous Recurrent CSF Rhinorrhoea: A Rare Case and Review of Literature.
作者信息
Shah Nishit, Deopujari C E, Chhapola Shukla Sunita
机构信息
Bombay Hospital and Medical Research Centre, Mumbai, India.
Mumbai Port Trust Hospital, Flat No. 4, Charak, Mumbai Port Trust Hospital Campus, Wadala (E), Mumbai, Maharashtra 400037 India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2017 Sep;69(3):420-424. doi: 10.1007/s12070-016-1024-y. Epub 2016 Oct 6.
Abstract
Cerebrospinal fluid (CSF) rhinorrhoea is the leakage of CSF through the communication between the subarachnoid space and the nasal cavity. Surgical repair is indicated in all cases of spontaneous leaks, recurrent leaks, leaks that do not stop after conservative management and cases with history of meningitis. We present a rare case of spontaneous (delayed onset post traumatic) CSF rhinorrhoea with multiple defect sites, which was treated with an endonasal endoscopic repair. The patient was asymptomatic for 9 years after surgery, and then presented with a spontaneous left frontal recess CSF leak, which was closed using endonasal approach.
摘要
脑脊液鼻漏是指脑脊液通过蛛网膜下腔与鼻腔之间的连通处渗漏。所有自发性漏液、复发性漏液、保守治疗后未停止的漏液以及有脑膜炎病史的病例均需进行手术修复。我们报告一例罕见的自发性（创伤后延迟发作）脑脊液鼻漏病例，该病例存在多个缺损部位，采用鼻内镜下修复治疗。患者术后9年无症状，随后出现自发性左额隐窝脑脊液漏，采用鼻内镜入路进行封闭。
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