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Case Report 


A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report

Yong Wan Kim.


Abstract
A 59-year-old male with no history of trauma or surgery presented with clear rhinorrhea occurring when he bent his head forward. A CT scan revealed localized fluid accumulation and a lateral wall defect involving the left sphenoid sinus. Using the transpterygoid approach, we widened the anterior wall of the sphenoid sinus inferolaterally to expose the lesion as much as possible. Reconstruction involved placing an interposition graft between the dura and the bony defect using the underlay technique, followed by free mucosal grafting. Histopathological examination revealed neuroglial cells, confirming the diagnosis of spontaneous cerebrospinal fluid rhinorrhea due to a meningoencephalocele.

Key words: Cerebrospinal fluid leakage, endoscopy, surgery, nasal mucosa, rhinorrhea.


 
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Pubmed Style

Yong Wan Kim. A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report. RMJ. 2023; 48(4): 1075-1078. doi:10.5455/rmj.20230517121449

Web Style

Yong Wan Kim. A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report. https://www.rmj.org.pk/?mno=153563 [Access: September 13, 2024]. doi:10.5455/rmj.20230517121449

AMA (American Medical Association) Style

Yong Wan Kim. A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report. RMJ. 2023; 48(4): 1075-1078. doi:10.5455/rmj.20230517121449


Vancouver/ICMJE Style

Yong Wan Kim. A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report. RMJ. (2023), [cited September 13, 2024]; 48(4): 1075-1078. doi:10.5455/rmj.20230517121449


Harvard Style

Yong Wan Kim (2023) A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report. RMJ, 48 (4), 1075-1078. doi:10.5455/rmj.20230517121449


Turabian Style

Yong Wan Kim. 2023. A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report. Rawal Medical Journal, 48 (4), 1075-1078. doi:10.5455/rmj.20230517121449


Chicago Style

Yong Wan Kim. "A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report." Rawal Medical Journal 48 (2023), 1075-1078. doi:10.5455/rmj.20230517121449


MLA (The Modern Language Association) Style

Yong Wan Kim. "A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report." Rawal Medical Journal 48.4 (2023), 1075-1078. Print. doi:10.5455/rmj.20230517121449


APA (American Psychological Association) Style

Yong Wan Kim (2023) A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report. Rawal Medical Journal, 48 (4), 1075-1078. doi:10.5455/rmj.20230517121449


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