Nontraumatic cerebrospinal fluid rhinorrhea as a result of pseudotumor cerebri

Abstract Objective The purpose of this study is to demonstrate that pseudotumor cerebri, also known as benign intracranial hypertension, can be an overlooked cause of spontaneous, nontraumatic cerebrospinal fluid (CSF) rhinorrhea. Study design and methods This study presents a literature review and...

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Bibliographic Details
Published in:American journal of otolaryngology 2007-07, Vol.28 (4), p.242-246
Main Authors: Suryadevara, Amar C., MD, Fattal, Michael, MD, Woods, Charles I., MD
Format: Article
Language:English
Subjects:
Anemia
Biological and medical sciences
Blindness
Cerebrospinal Fluid Rhinorrhea - diagnosis
Cerebrospinal Fluid Rhinorrhea - etiology
Cerebrospinal Fluid Rhinorrhea - surgery
Diagnosis, Differential
Female
Fluids
Follow-Up Studies
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Headaches
Humans
Hypertension
Magnetic Resonance Imaging
Medical imaging
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Neurosurgical Procedures - methods
Non tumoral diseases
Otolaryngology
Otorhinolaryngology. Stomatology
Pathogenesis
Pseudotumor Cerebri - complications
Pseudotumor Cerebri - diagnosis
Pseudotumor Cerebri - surgery
Surgery
Tomography, X-Ray Computed
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Abstract Objective The purpose of this study is to demonstrate that pseudotumor cerebri, also known as benign intracranial hypertension, can be an overlooked cause of spontaneous, nontraumatic cerebrospinal fluid (CSF) rhinorrhea. Study design and methods This study presents a literature review and 2 case reports. The medical records of 2 patients who had nontraumatic CSF rhinorrhea were reviewed. Results The patients were diagnosed as having spontaneous, nontraumatic CSF rhinorrhea, believed to have been caused by pseudotumor cerebri, and were surgically treated. The patients are obese, middle-aged women. Conclusions Cerebrospinal fluid rhinorrhea is most often the result of trauma, but it may also occur spontaneously because of nontraumatic causes in some patients. Pseudotumor cerebri can be an overlooked cause of spontaneous, nontraumatic CSF rhinorrhea. A patient with signs and symptoms of pseudotumor cerebri should be evaluated and treated, if the condition is present, to prevent complications that include irreversible visual loss and CSF rhinorrhea.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2006.08.013