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Synchronous spontaneous cerebrospinal fluid leaks in the nose and ear

Published online by Cambridge University Press:  29 August 2012

S P Schraven ,
S Bisdas  and
W Wagner
S P Schraven
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Germany Department of Otolaryngology, Head and Neck Surgery, University of Würzburg, Germany
S Bisdas
Affiliation:
Department of Diagnostic and Interventional Neuroradiology, University of Tübingen, Germany
W Wagner*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Germany
*
Address for correspondence: Dr Wolfgang Wagner, Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Elfriede-Aulhorn-Strasse 5, 72076 Tübingen, Germany Fax: +49 7071 29 4950 E-mail: w.wagner@med.uni-tuebingen.de
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Abstract

Objective:

The majority of spontaneous cerebrospinal fluid leaks occur at the anterior skull base; few cases at the temporal bone have been described. There have been no previous reports of synchronous leaks at the anterior skull base and temporal bone in the same patient.

Methods:

Case report and brief review of management of spontaneous cerebrospinal fluid leaks in the nose and ear.

Case report:

A 34-year-old, pregnant woman presented with watery nasal discharge and unilateral middle-ear effusion. The nasal and ear secretions both proved to be cerebrospinal fluid. Radiological imaging showed defects in both the ethmoid roof and the mastoid roof (middle cranial fossa). These defects were surgically closed using duraplasties.

Conclusion:

A literature review indicated that this is the first reported case of synchronous spontaneous cerebrospinal fluid leaks via the anterior skull base and temporal bone.

Keywords

Cerebrospinal Fluid LeakCerebrospinal Fluid OtorrheaCerebrospinal Fluid Rhinorrhea
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 11 , November 2012 , pp. 1186 - 1188
Copyright
Copyright © JLO (1984) Limited 2012

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