Sandhu Kulwinder-Singh, Chopra Laika, Singh Jagdeepak, Arya Sania
Department of Otorhinolaryngology, Ram Lal Eye and ENT Hospital, Government Medical College, Amritsar, Punjab.
Iran J Otorhinolaryngol. 2021 Mar;33(115):103-106. doi: 10.22038/ijorl.2021.41590.2357.
Very late presentation of cerebrospinal fluid rhinorrhea is quite rare with some factors like brain shrinkage with age and ethmoidal growth fracture that lead to leakage from fracture site.
We present a 70 years old man diagnosing with CSF rhinorrhea, 45 years after head injury with metallic rod. Treatment of cerebrospinal fluid leakage was performed successfully by endoscopic intranasal repair.
The cerebrospinal leak can occur years after the traumatic head injury even though patient may not had cerebrospinal fluid leakage at the time of trauma. The physician should be aware of the possibility of very late presentation of the cerebrospinal leakage even after years of traumatic head injury.
脑脊液鼻漏出现得非常晚的情况相当罕见，存在一些因素，如随着年龄增长大脑萎缩以及筛骨生长性骨折，这些会导致从骨折部位渗漏。
我们报告一名70岁男性，在头部被金属棒击伤45年后被诊断为脑脊液鼻漏。通过鼻内镜下鼻腔修复成功治疗了脑脊液漏。
即使患者在创伤时可能没有脑脊液漏，脑脊液漏也可能在创伤性脑损伤数年之后发生。医生应意识到即使在创伤性脑损伤数年之后，脑脊液漏出现得非常晚的可能性。
