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Case Reports
. 2007 Nov;42(5):403-5.
doi: 10.3340/jkns.2007.42.5.403. Epub 2007 Nov 20.

Extraordinarily long-term posttraumatic cerebrospinal fluid fistula

Hyoung Sub Kim  1 , Jin Woo Hur, Jong Won Lee, Hyun Koo Lee
Affiliations
Case Reports

Extraordinarily long-term posttraumatic cerebrospinal fluid fistula

Hyoung Sub Kim et al. J Korean Neurosurg Soc. 2007 Nov.

Abstract

Most posttraumatic cerebrospinal fluid (CSF) leakage is noticed by the patients with the first symptom, rhinorrhea. A 38-year-old woman presented with frequent clear continuous rhinorrhea and otorrhea for 5 years after basilar skull fracture. After this, meningitis was developed with subsequent CSF fistula. Her clinical symptom was improved by medical treatment. The dural defect and CSF leakage were not detected by computerized tomography (CT) cisternography. We report a rare case of persistent posttraumatic CSF fistula that continued for five years.

Keywords: CT cisternography; Meningitis; Traumatic CSF fistula.

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Figures

Fig. 1
Fig. 1
Initial brain magnetic resonance imaging showing diffuse meningeal enhancement and encephalomalatic change on frontal lobe.
Fig. 2
Fig. 2
Ostiomeatal unit computerized tomography revealing defect of sphenoid sinus.
Fig. 3
Fig. 3
Brain computerized tomography revealing mild hydrocephalus.
Fig. 4
Fig. 4
Computerized tomography cisternography does not indicate the site of cerebrospinal fluid leakage.
See this image and copyright information in PMC

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