A Case of Cerebrospinal Fluid Rhinorrhea 15 years after Head Injury

Yoshihiko Nakata; Ken Ishijima; Hiroaki Sato

doi:10.5631/jibirinsuppl.129.13

Festschrift for Professor Kazuo Ishikawa In Honor of 10 Years of Chairmanship, Department of Otorhinolaryngology-Head and Neck Surgery, Akita University Graduate School of Medicine

A Case of Cerebrospinal Fluid Rhinorrhea 15 years after Head Injury

Yoshihiko Nakata ^†, Ken Ishijima ^†, Hiroaki Sato ^†

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Keywords: cerebrospinal fluid rhinorrhea, head injury, delayed onset, transnasal surgery

JOURNAL RESTRICTED ACCESS

2010 Volume 129 Pages 13-19

DOI https://doi.org/10.5631/jibirinsuppl.129.13

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Abstract

We report the case of a 22-year-old man with delayed cerebrospinal fluid (CSF) rhinorrhea onset attributed to a head injury.
He developed CSF rhinorrhea and meningitis 15 years after injuring his head in a traffic accident.
Coronal computed tomography (CT) and magnetic resonance imaging (MRI) proved useful in determining the leakage site precisely.
We confirmed a fistula of the right cribriform plate in transnasal surgery, sealing it with fascia and fibrin glue.
The man has had no CSF rhinorrhea or meningitis recurrence in the 18 months of follow-up.

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