CSF rhinorrhea

Case contributed by Dr Dalia Ibrahim

Presentation

CSF rhinorrhea following cranial surgery for brain tumor.

Patient Data

Age: 30
Gender: Female
CT

A bone defect involves the posterior wall of the left frontal sinus measuring about 3mm in max diameter ; with subsequent contrast leakage into the left compartment of the frontal sinus and the left anterior ethmoidal air cells.

The cribriform plates of both ethmoids appear intact. 

Right ethmoid osteoma.

Annotated image

A bone defect involves the posterior wall of the left frontal sinus (arrows) ; with subsequent contrast leakage into the left compartment of the frontal sinus and the left anterior ethmoidal air cells.

Case Discussion

Excellent example of the need for CT cisternography for the diagnosis of a CSF leak.

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Case information

rID: 32410
Published: 25th Nov 2014
Last edited: 9th Dec 2019
Inclusion in quiz mode: Included

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