Jyothsna Balachandran P, Kumar Kunjappa Vinod, Unni Narayanan V, Praveen Gopinath, Shejoy Joshua P, Prasannan Bipi
Department of Nephrology, Aster Medcity, Kochi, Kerala, India.
Department of ENT, Aster Medcity, Kochi, Kerala, India.
Indian J Nephrol. 2021 May-Jun;31(3):296-298. doi: 10.4103/ijn.IJN_372_19. Epub 2021 Mar 27.
We report a case of spontaneous cerebrospinal fluid (CSF) rhinorrhea in a patient on maintenance hemodialysis. There was no previous history of trauma or surgery. Secondary hyperparathyroidism due to progression of chronic kidney disease (CKD) and a rise in intracranial pressure resulted in spontaneous cerebrospinal fluid rhinorrhea. He underwent endoscopic endonasal repair with theco-peritoneal shunt; CSF leak stopped completely and the patient is doing well on one year follow up.
我们报告一例维持性血液透析患者发生自发性脑脊液鼻漏的病例。患者既往无外伤或手术史。慢性肾脏病(CKD)进展导致的继发性甲状旁腺功能亢进及颅内压升高引起了自发性脑脊液鼻漏。他接受了鼻内镜下鼻内修复术及腹腔分流术;脑脊液漏完全停止,患者在一年的随访中情况良好。