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Journal of Korean Neurosurgical Society 2007;42(5): 403-405.
doi: https://doi.org/10.3340/jkns.2007.42.5.403
Extraordinarily Long-Term Posttraumatic Cerebrospinal Fluid Fistula.
Hyoung Sub Kim, Jin Woo Hur, Jong Won Lee, Hyun Koo Lee
Department of Neurosurgery, Cheongju St. Mary's Hospital, Cheongju, Korea. somalh@nate.com
ABSTRACT
Most posttraumatic cerebrospinal fluid (CSF) leakage is noticed by the patients with the first symptom, rhinorrhea. A 38-year-old woman presented with frequent clear continuous rhinorrhea and otorrhea for 5 years after basilar skull fracture. After this, meningitis was developed with subsequent CSF fistula. Her clinical symptom was improved by medical treatment. The dural defect and CSF leakage were not detected by computerized tomography (CT) cisternography. We report a rare case of persistent posttraumatic CSF fistula that continued for five years.
Key Words: Traumatic CSF fistula; Meningitis; CT cisternography
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