Spontaneous Cerebrospinal Fluid Leak in a Patient with Asymptomatic Idiopathic Intracranial Hypertension.
J Emerg Med
; 66(3): e335-e337, 2024 Mar.
Article
in En
| MEDLINE
| ID: mdl-38296766
ABSTRACT
BACKGROUND:
Spontaneous cerebrospinal fluid (CSF) leaks occur when there is a tear in the dura mater. Spontaneous CSF leaks are rare, and often associated with conditions like intracranial hypertension, connective tissue disorders, or congenital defects in the dura mater. CASE REPORT The patient was a 66-year-old woman who presented to the Emergency Department with clear, positional nasal discharge from her left nostril for 1 week. She had a history of chronic headaches, which seemed to have been relieved around the time of onset of her rhinorrhea. Diagnostic imaging, including computed tomography and magnetic resonance imaging scans, confirmed the presence of a CSF leak and a left temporal meningoencephalocele. The patient subsequently underwent surgical repair of the leak and ventriculoperitoneal shunt placement, and was discharged home in stable condition. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS? Early detection of CSF leaks require a thorough history and physical examination, and is crucial in preventing potentially life-threatening complications such as meningitis and intracranial abscesses.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pseudotumor Cerebri
/
Cerebrospinal Fluid Rhinorrhea
/
Intracranial Hypertension
Type of study:
Screening_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
J Emerg Med
Year:
2024
Document type:
Article