Faculty of Medicine, Department of Emergency Medicine, Université Laval, Quebec, QC, Canada.
Division of Neurosurgery, Department of Surgery, CHU de Québec, Université Laval, Quebec, Canada.
Childs Nerv Syst. 2022 Aug;38(8):1647-1649. doi: 10.1007/s00381-021-05440-0. Epub 2022 Jan 12.
Cranial cerebrospinal fluid (CSF) leak is an extremely rare complication of blunt head trauma causing skull fractures, especially fractures involving the skull base. We present the case of a 10-month-old male who received glass fragments on the midline and posterior tier of his anterior fontanelle producing a cranial cerebrospinal fluid leak without any skull fracture or symptoms. Neurologic exam was completely normal and a superficial stitch wound repair was performed. He was observed for 24 h, had no antibiotic, and left with a 1-week outpatient neurosurgical follow-up. The patient had no negative outcome. Cerebrospinal fluid leak should be included in the differential diagnosis of a head trauma in a patient with open fontanelles. No similar case was found in literature.
颅脑脑脊液（CSF）漏是一种极其罕见的并发症，可由钝性头部创伤引起颅骨骨折，特别是涉及颅底的骨折。我们报告了一例 10 个月大的男性患儿，其前囟中线和后层受到玻璃碎片的打击，导致脑脊液漏而无任何颅骨骨折或症状。神经系统检查完全正常，进行了浅表缝合伤口修复。患儿观察了 24 小时，未使用抗生素，并在门诊神经外科进行了为期 1 周的随访。患儿无不良后果。对于囟门未闭的头部创伤患者，应将脑脊液漏纳入鉴别诊断。文献中未发现类似病例。
