创伤后迟发性脑脊液漏伴复发性脑膜炎

Delay Posttraumatic Paradoxical Cerebrospinal Fluid Leak with Recurrent Meningitis.

作者信息

Sharifi Guive, Mousavinejad Seyed Ali, Bahrami-Motlagh Hooman, Eftekharian Ali, Samadian Mohammad, Ebrahimzadeh Kaveh, Rezaei Omidvar

机构信息

Department of Neurosurgery, Skull Base Research Center, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Radiology, Skull Base Research Center, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Asian J Neurosurg. 2019 Jul-Sep;14(3):964-966. doi: 10.4103/ajns.AJNS_95_18.

DOI:10.4103/ajns.AJNS_95_18

PMID:31497141

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6703044/

Abstract

Cerebrospinal fluid (CSF) rhinorrhea complicates 2% of all head traumas, and 12%-30% of all basilar skull fractures. Posttraumatic CSF rhinorrhea usually occurs within the first 48 h, and majority of them occur in the first 3 months, whereas delayed CSF leak beyond 3 months is rare. On the other hand, CSF usually leaks through dural tearing associated with fracture of the anterior skull base. CSF leak through fractures of middle cranial fossa to the nose through the eustachian tube is very rare. We present a 52-year-old woman with delayed posttraumatic paradoxical CSF rhinorrhea and recurrent meningitis.

摘要

脑脊液鼻漏在所有头部外伤中占2%，在所有颅底骨折中占12% - 30%。创伤后脑脊液鼻漏通常发生在最初48小时内，其中大多数发生在最初3个月内，而3个月后出现延迟性脑脊液漏的情况很少见。另一方面，脑脊液通常通过与前颅底骨折相关的硬脑膜撕裂处漏出。脑脊液通过中颅窝骨折经咽鼓管漏至鼻腔的情况非常罕见。我们报告一例52岁女性，患有创伤后延迟性反常性脑脊液鼻漏并反复发生脑膜炎。