RESUMO
Idiopathic intracranial hypertension is a disease of elevated intracranial pressure that can lead to spontaneous cerebrospinal fluid leak at the skull base. We present a case of CSF leak in a young female with undiagnosed idiopathic intracranial hypertension that presented as clear rhinorrhea. The defect in the skull base was visualized with computerized tomography and repaired endoscopically with adjuvant placement of a lumboperitoneal shunt. This case outlines the important sequence of repair and postoperative care for spontaneous cerebrospinal fluid leak, and demonstrates the safety and efficacy of endoscopic endonasal repair.
Assuntos
Rinorreia de Líquido Cefalorraquidiano/etiologia , Rinorreia de Líquido Cefalorraquidiano/cirurgia , Hipertensão Intracraniana/complicações , Cirurgia Endoscópica Transanal , Rinorreia de Líquido Cefalorraquidiano/diagnóstico por imagem , Feminino , Humanos , Base do Crânio/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
An 18-year-old African-American male with epidermolysis bullosa acquisita presenting as vesico-bullous lesions over the fingers, elbows and knees following minimal trauma is reported. There was no underlying systemic disease, and he responded to administration of dapsone and prednisone.