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Case Reports
. 2017 Apr-Jun;12(2):328-330.
doi: 10.4103/1793-5482.144202.

Clival defect causing primary spontaneous rhinorrhea

Vivek Tandon  1 , Kanwaljeet Garg  1 , Ashish Suri  1 , Ajay Garg  2
Affiliations
Case Reports

Clival defect causing primary spontaneous rhinorrhea

Vivek Tandon et al. Asian J Neurosurg. 2017 Apr-Jun.

Abstract

Primary cerebrospinal fluid (CSF) rhinorrhea due to a defect in clivus is an extremely rare entity, till date only four such cases are reported in the world literature. We present a case of 55-year-old female who presented with primary spontaneous CSF rhinorrhea, for which endonasal surgery was performed about 9 years back. Patient developed recurrent CSF leak with a history of meningitis. Repeat imaging showed clival defect causing CSF leak. Transsphenoidal repair was performed under neuronavigation. In this paper, we discuss the possible mechanism of fistula formation and literature is reviewed.

Keywords: Cerebrospinal fluid; clivus; rhinorrhea; spontaneous.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Computed tomography (CT) film showing midline clival defect in axial section. (b) CT cisternography film showing cerebrospinal fluid leaking into the sphenoid sinus from the prepontine cistern, through the defect site. (c) Sagittal image of CT cisternography showing the leakage of contrast from the pontine cistern and filling up the sphenoid sinus cavity
See this image and copyright information in PMC

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