Idiopathic sphenoid sinus CSF rhinorrhoea

BMJ Case Rep. 2013 Apr 23:2013:bcr2013009416. doi: 10.1136/bcr-2013-009416.

Abstract

Cerebrospinal fluid (CSF) rhinorrhoea results from a direct communication between the CSF-containing subarachnoid space and the mucosa-lined space of the nasal cavity and paranasal sinuses. We present a case of 40-year-old woman, presenting with clear, watery discharge through the right nostril spontaneously. The CT cisternography confirmed the diagnosis of sphenoid sinus CSF rhinorrhoea, with no intracranial pathology. The patient was managed by transnasal endoscopic procedure, wherein bath plug technique was followed using temporalis fascia and overlay grafting with fascia lata and fibrin glue. The patient has been symptom free for the last year.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebrospinal Fluid Rhinorrhea / diagnostic imaging*
  • Cerebrospinal Fluid Rhinorrhea / pathology
  • Cerebrospinal Fluid Rhinorrhea / surgery*
  • Diagnosis, Differential
  • Endoscopy
  • Female
  • Humans
  • Sphenoid Sinus / diagnostic imaging*
  • Sphenoid Sinus / pathology
  • Sphenoid Sinus / surgery*
  • Tomography, X-Ray Computed