외상 후 발생한 뇌류를 동반한 뇌척수액 비루 1예
A Case of Post-Traumatic Cerebrospinal Fluid Rhinorrhea with Encephalocele
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Posttraumatic cerebrospinal fluid (CSF) leakage may frequently develop after a skull base fracture. A patient with a 1-month history of intermittent watery rhinorrhea was referred to our department from the Department of Neurosurgery. He had been treated for 8 months due to a skull base fracture after a motor vehicle accident. He had undergone cranial trephination due to brain abscess prior to this presentation. On radiologic examination, a large skull base defect with encephalocele was observed. Using the nasal endoscopic approach, we identified a large protruding mass of soft brain tissue with pulsating CSF in the ethmoid roof. CSF lumbar drainage was performed in order to reduce the protruding mass by decreasing intracranial pressure. After CSF lumbar drainage, the protruding brain tissue was returned to the cranial cavity, and the leak site was successfully repaired with septal cartilage and graft material.
Abstract
Posttraumatic cerebrospinal fluid (CSF) leakage may frequently develop after a skull base fracture. A patient with a 1-month history of intermittent watery rhinorrhea was referred to our department from the Department of Neurosurgery. He had been treated for 8 months due to a skull base fracture after a motor vehicle accident. He had undergone cranial trephination due to brain abscess prior to this presentation. On radiologic examination, a large skull base defect with encephalocele was observed. Using the nasal endoscopic approach, we identified a large protruding mass of soft brain tissue with pulsating CSF in the ethmoid roof. CSF lumbar drainage was performed in order to reduce the protruding mass by decreasing intracranial pressure. After CSF lumbar drainage, the protruding brain tissue was returned to the cranial cavity, and the leak site was successfully repaired with septal cartilage and graft material.
참고문헌 (13)
- Friedman JA, "Post-traumatic cerebrospinal Flu-id Leakage", World J Surg, 25(8), pp.1062~1066 (2001)
- Choi D, "Traumatic cerebrospinal fluid leakage: risk factors and the use of prophylactic antibiotics", Br J Neurourg, 10(6), pp.571~575 (1997)
- Daudia A, "Risk of meningitis with cerebrospinal fluid rhinorrhea", Annals Otol Rhinol Laryngol, 116(12), pp.902~905 (2009)
- Lund VJ, "Endoscopic management of cerebrospinal fluid leaks", Am J Rhinol, 16(1), pp.17~23 (2002)
- Nachtigal D, "Endoscopic repair of cerebrospinal fluid rhinorrhea: is it the treatment of choice?", J Otolaryngol, 28(3), pp.129~133 (1999)
- Marton E, "Transnasal endoscopic repair of cerebrospinal fluid fistula and encephaloceles: surgical indications and complications", Minim Invasive Neurosurg, 48(3), pp.175~181 (2005)
- Bernal-Sprekelsen M, "Ascending meningitis second-ary to traumatic cerebrospinal fluid leaks", Am J Rhinol, 14(4), pp.257~259 (2000)
- Senior BA, "Safety and efficacy of endoscopic re-pair of CSF leaks and encephaloceles: a survey of the members of the american rhinologic society", Am J of Rhinol, 15(1), pp.21~25 (2001)
- 이철희, "뇌척수액비루의 임상양상과 내시경적 치료", 대한이비인후과학회지 두경부외과학, 47(10), pp.973~977 (2004), 대한이비인후과학회
- Yun DH, "A Case of Encephalomeningocele presenting with cerebrospinal fluid rhinorrhea: endoscopic endonasal removal with repair", Korean J Otolaryngol-Head Neck Sung, 42(3), pp.373~376 (1999)
- Castelnuovo P, "End-oscopic repair of cerebrospinal fluid rhinorrhea: learning from our failures", Am J Rhinol, 15(5), pp.333~342 (2001)
- Boseley ME, "Endoscopic management of anterior skull base encephaloceles", Ann Otol Rhinol Laryngol, 113(1), pp.30~33 (2004)
- Gregory DC, "Cervical cerebral spinal fluid pressure: effects of body position and lumbar drainage", The Spine Journal, 2(2), pp.34~35 (2002)