Spontaneous cerebrospinal fluid rhinorrhoea: a case report and literature review.

Autor: Sundararaju U; Department of Ear-Nose-Throat, Government Medical College, Omandurar, Government Estate, Chennai, 600002, Tamilnadu, India. umashriutgml@gmail.com., Rajakumar HK; Department of Ear-Nose-Throat, Government Medical College, Omandurar, Government Estate, Chennai, 600002, Tamilnadu, India. hamrishkumar2003@gmail.com., Ashok Siva S; Department of Ear-Nose-Throat, Government Medical College, Omandurar, Government Estate, Chennai, 600002, Tamilnadu, India., Prateep A; Department of Ear-Nose-Throat, Government Medical College, Omandurar, Government Estate, Chennai, 600002, Tamilnadu, India.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Nov 11; Vol. 18 (1), pp. 533. Date of Electronic Publication: 2024 Nov 11.
DOI: 10.1186/s13256-024-04882-9
Abstrakt: Background: Cerebrospinal fluid rhinorrhea is a rare condition characterized by the abnormal leakage of cerebrospinal fluid from the intracranial space into the sinonasal cavity. It includes various etiologies, including traumatic, iatrogenic, and spontaneous causes, each with distinct epidemiological and clinical characteristics.
Case Presentation: A 40-year-old Asian female presented with a three-month history of watery discharge from her left nostril and dull headaches localized to the left side of her head. Despite the initial diagnosis of allergic rhinitis, symptoms persisted, leading to further evaluation and eventual diagnosis of cerebrospinal fluid rhinorrhea. Detailed history, physical examination, and diagnostic tests including fluid analysis and imaging confirmed the diagnosis. The patient underwent a successful surgical repair after failed conservative management, highlighting the importance of timely intervention.
Conclusion: Cerebrospinal fluid rhinorrhea poses significant risks if left untreated, including meningitis. Prompt recognition, accurate diagnosis, and individualized treatment strategies are crucial in mitigating complications and improving patient outcomes. A multidisciplinary approach, incorporating both conservative and surgical interventions tailored to the underlying cause, is essential for the successful management of cerebrospinal fluid rhinorrhea.
Competing Interests: Declarations Ethics approval As per our institutional protocol, ethical approval is required to publish a case report. This case was approved by the institutional ethics committee of Government Medical College, Omandurar, Government Estate (Registration Number: ECR/1492/Inst/TN/2021) with approval number 62/IEC/GOMC/2023 dated 5th August 2023. Consent for publication Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Competing interests In compliance with the ICMJE uniform disclosure form, the authors declare no conflicts of interest.
(© 2024. The Author(s).)
Databáze: MEDLINE
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