Spontaneous Cerebrospinal Fluid Rhinorrhea Secondary to Idiopathic Intracranial Hypertension

The cerebrospinal fluid (CSF) is a physiological fluid that functions to protect the brain tissue and maintain intracranial pressure. Defects between the subarachnoid spaces and other spaces can cause CSF leaks. We report the case of a 37-year-old female with no known past medical history who presen...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-07, Vol.15 (7)
Main Authors: Ali, Mohamed, Elgassim, Moayad A, Faisal, Hamad M, Saied, Amin Saied Sanosi, Elgassim, Mohamed
Format: Article
Language:English
Subjects:
Abdomen
Body mass index
Case reports
Cerebrospinal fluid
Defects
Emergency medical care
Endoscopy
Headaches
Hypertension
Intracranial pressure
Magnetic resonance imaging
Medical imaging
Neurology
Neurosurgery
Nose
Sinuses
Tinnitus
Tomography
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Summary:The cerebrospinal fluid (CSF) is a physiological fluid that functions to protect the brain tissue and maintain intracranial pressure. Defects between the subarachnoid spaces and other spaces can cause CSF leaks. We report the case of a 37-year-old female with no known past medical history who presented to the emergency department with a history of headaches for two months, nasal drip for 1.5 months, and recurrent fevers. Idiopathic intracranial hypertension was confirmed by cranial magnetic resonance imaging (MRI) and transnasal endoscopic repair of a CSF leak defect, and an abdomen fat graft was performed followed by an Axium navigation-guided right ventriculoperitoneal shunt (VPS).
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.42353