Vol.95 No.9 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 9 September 2002
A Case of Delayed-Onset Traumatic Cerebrospinal
Fluid Rhinorrhea
Masaomi Moriyama, Takeshi Suko, Masashi Suzuki, Goro Mogi,
Kimiko Sato, Kunihiro Sannomiya and Toshihide Kumamoto
(Oita Medical University)
We treated a 55-year-old woman with delayed-onset traumatic cerebrospinal fluid (CSF) rhinorrhea. She developed CSF rhinorrhea 17 months after a closed head injury followed by meningitis 24 months after the incident. Fistula of the right lamina was closed with fascia temporalis under endoscopic sinus surgery (ESS) 26 months after the trauma occurred. There was no recurrence of CSF rhinorrhea or meningitis during the subsequent 18-month follow-up. We compared the clinical features of delayed-onset traumatic CSF rhinorrhea with spontaneous CSF rhinorrhea. CT scanning and ESS were useful in determining of the precise location of the fistula.
Key words : delayed-onset, trauma, cerebrospinal fluid rhinorrhea