Nontraumatic clival cerebrospinal fluid rhinorrhea

Maranha, Luana Antunes; Corredato, Renata de Angeli; Araújo, João Cândido

doi:10.1590/s0004-282x2012000700015

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…All defects were closed with a combination of fat, fascia, and a free or nasoseptal flap. Review of the literature highlighted the fact that identification of the bone/dural defect responsible for CSF leakage was the most important point for successful surgical intervention, since a missed site can lead to improper treatment and recurrence of the leak [25,26]. In a report by Vivek Tandon, sphenoid sinus packing was performed when the exact site of the leak was not identified and the patient presented with recurrent rhinorrhea and meningitis [24].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Samadian¹,

Mousavinejad²,

Ebrahimzadeh³

et al. 2021

TNN

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Spontaneous or non-traumatic cerebrospinal fluid leaks comprise 5-10% of all CSF rhinorrhea. Generally, CSF rhinorrhea occur at Cribriform plate, sella, sphenoid sinus and ethmoid air. Primary CSF rhinorrhea from clival defect is extremely rare. We herein describe two cases of spontaneous CSF rhinorrhea through the clivus repaired with endoscopic endonasal trans sphenoid approach. Moreover, we collected evidence in the literature regarding potential etiology, symptom and treatment (which occurred in the case reported).

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Section: Discussionmentioning

confidence: 99%

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Samadian¹,

Mousavinejad²,

Ebrahimzadeh³

et al. 2021

TNN

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“…In a report by Luana Antunes Maranha, the patient underwent anterior skull base repair via bifrontal craniotomy three times since the exact site of leakage was not defined and the patient presented with recurrent CSF leak. Finally, the patient underwent endoscopic trans nasal approach for clival defect closure [27].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Mousavinejad¹

2020

BJSTR

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Spontaneous or non-traumatic cerebrospinal fluid leaks comprise 5%-10% of all cerebrospinal fluid (CSF) rhinorrhea [1,2]. Generally, CSF rhinorrhea can occur at the cribriform plate, sella, sphenoid sinus, or ethmoid air cells [3,4]. However, primary CSF rhinorrhea due to clival defect is extremely rare. The current study describes two cases of spontaneous CSF rhinorrhea through the clivus which were repaired with endoscopic endonasal transsphenoidal approach. Such cases are extremely rare and upon literature review, only 16 cases with clival defect are reported thus far. The peculiar aspect of this case report is related to its rarity.

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“… 8 , 12) Non-traumatic clival CSF rhinorrhea has also been reported. 13 – 16) The most frequent cause of non-traumatic clival CSF rhinorrhea is considered to be meningoencephalocele, which is a congenital malformation of the skull base. 15) Moreover, there have been reports of spontaneous CSF rhinorrhea due to a vulnerable clival bone in relation to either obesity, benign intracranial hypertension, continuous basilar artery pulsation, or advanced aging.…”

Section: Discussionmentioning

confidence: 99%

“… 15) Moreover, there have been reports of spontaneous CSF rhinorrhea due to a vulnerable clival bone in relation to either obesity, benign intracranial hypertension, continuous basilar artery pulsation, or advanced aging. 13 , 14) …”

Section: Discussionmentioning

confidence: 99%

Endoscopic Endonasal Repair of Cerebrospinal Fluid Leakage Caused by a Rare Traumatic Clival Fracture

Hirayama

Komatsu

Imai

et al. 2016

Neurol. Med. Chir.(Tokyo)

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An 89-year-old male presented with cerebrospinal fluid (CSF) rhinorrhea associated with head trauma sustained as a pedestrian in a traffic accident. Computed tomography (CT) showed pneumocephalus and multiple cranial bone fractures, including the clivus. Although the CSF rhinorrhea was treated conservatively for a week, clinical symptoms did not improve and surgical repair was performed. Preoperative thin-sliced bone CT and steady-state magnetic resonance images revealed a bone defect at the middle clivus and a collection of CSF fluid from the clival fistula in the sphenoid sinus. Endoscopic endonasal reconstruction was performed, and the 3-mm diameter dural tear and bone defect at the middle clivus were well visualized. The fistula was repaired using a pedicled nasoseptal mucosal flap. The CSF rhinorrhea completely disappeared as a result of the endoscopic endonasal surgery. The present report describes a rare case of CSF rhinorrhea caused by a traumatic clival fracture and surgical management by endoscopic endonasal surgery.

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Nontraumatic clival cerebrospinal fluid rhinorrhea

Cited by 4 publications

References 6 publications

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Spontaneous Cerebrospinal Fluid Leak at the Clivus: Two Case Reports and Literature Review

Endoscopic Endonasal Repair of Cerebrospinal Fluid Leakage Caused by a Rare Traumatic Clival Fracture

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