Hostname: page-component-77c89778f8-5wvtr Total loading time: 0 Render date: 2024-07-24T18:29:38.388Z Has data issue: false hasContentIssue false
  • English
  • Français

Idiopathic CSF rhinorrhoea presenting with tension pneumocephalus and hemiparesis

Published online by Cambridge University Press:  29 June 2007

R. P. Hogg ,
H. Pillay ,
R. Mitchell  and
A. P. Johnson
R. P. Hogg*
Affiliation:
Departments of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham, U.K.
R. Mitchell
Affiliation:
Departments of Neurosurgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, U.K.
A. P. Johnson
Affiliation:
Departments of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham, U.K.
*
Address for correspondence: Mr Richard P. Hogg, Department of ENT, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH. Fax: 0121 627 2299 e mail: richard.hogg@virgin.net
Get access Rights & Permissions [Opens in a new window]

Abstract

A case of non-traumatic/non-iatrogenic CSF rhinorrhoea, presenting with tension pneumocephalus and hemiparesis is described. The possible pathological processes involved in this rare case are discussed. Cases in the literature of idiopathic CSF rhinorrhoea and also those of spontaneous pneumocephalus are reviewed.

Keywords

Cerebrospinal fluid rhinorrhoeaPneumocephalus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 7 , July 1998 , pp. 654 - 656
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahren, C., Thulin, C. A. (1965) Lethal intracranial complication following inflation in the external auditory canal in treatment of serous otitis media and due to defects in the petrous bone. Ada Otolaryngologica 60: 407–421.CrossRefGoogle Scholar
Andrews, J. C., Canalis, R. F. (1986) Otogenic pneumocephalus. Laryngoscope 96: 521–528.CrossRefGoogle ScholarPubMed
Chiari, H. (1884) Uber einen Fall von Luftansammlung in den ventrikein des menschlichen gehirn. Zeitschrift fiir Heilkunde 5: 383–390.Google Scholar
Coiteiro, D., Tavora, L., Antunes, J. L. (1995) Spontaneous cerebrospinal fluid fistula through the clivus: report of two cases. Neurosurgery 37: 826–828.CrossRefGoogle ScholarPubMed
Farooki, N. Q., Brodovsky, D. M., Fewer, D. (1976) Mucocele of the sphenoid sinus presenting as spontaneous pneumocephalus. Journal of Otolaryngology 5: 350–354.Google ScholarPubMed
Hardwidge, C., Varma, T. R. (1985) Intracranial aeroceles as a complication of frontal sinus osteoma. Surgical Neurology 24: 401–404.CrossRefGoogle ScholarPubMed
Hubbard, J. L., McDonald, T. J., Pearson, B. W., Lawes, E. R. Jr., (1985) Spontaneous cerebrospinal fluid rhinorrhoea: evolving concepts in diagnosis and surgical management based on the Mayo clinic experience from 1970 through 1981. Neurosurgery 16: 314–321.CrossRefGoogle Scholar
Jakubowski, E., Kirsch, E., Mindermann, T., Ettlin, D., Gratzl, O., Radu, E. W. (1997) Intradiploic epidermoid cyst of the frontal bone presenting with tension pneumocephalus. Ada Neurochirurgica (Wien) 139: 86–87.CrossRefGoogle ScholarPubMed
Jooma, R., Grant, D. N. (1983) Cerebrospinal fluid rhinorrhoea and intraventricular pneumocephalus due to intermittent shunt obstruction. Surgical Neurology 20: 231–234.CrossRefGoogle ScholarPubMed
Kaufman, B., Nulsen, F. E., Weiss, M. H., Brodkey, J. S., White, R. J., Sykora, G. F. (1977) Acquired spontaneous non-traumatic normal-pressure fistulas originating from the middle fossa. Radiology 122: 379–387.CrossRefGoogle Scholar
Kinsley, S., Dougherty, J. (1993) Tension pneumocephalus related to an epidermoid tumour of ethmoid sinus origin. Annals of Emergency Medicine 22: 259–261.CrossRefGoogle Scholar
Markham, J. W. (1967) The clinical features of pneumocephalus based on a survey of 284 cases with report of 11 additional cases. Ada Neurochirurgica (Wien) 16: 1–78.CrossRefGoogle ScholarPubMed
McAllister, V. L., Parameswaran, R. (1981) Nontraumatic cerebrospinal fluid rhinorrhoea from a fistula between the trigeminal cistern and sphenoid sinus. Neuroradiology 22: 163–165.CrossRefGoogle ScholarPubMed
McLachlan, M. S., Williams, E. D. (1968) Applied anatomy of the pituitary gland and fossa. A radiological and histopathological study based on 50 necropsies. British Journal of Radiology 41: 782–788.CrossRefGoogle Scholar
Morley, T. P., Wotzman, G. (1965) The importance of the lateral extension of the sphenoidal sinus in post-traumatic cerebrospinal rhinorrhoea and meningitis. Clinical and radiological aspects. Journal of Neurosurgery 22: 326–331.CrossRefGoogle ScholarPubMed
O'Connell, J. E. A. (1964) Primary spontaneous cerebrospinal fluid rhinorrhoea. Journal of Neurology Neurosurgery and Psychiatry 27: 241–246.CrossRefGoogle ScholarPubMed
Ohnishi, T. (1981) Bony defects and dehiscence of the roof of ethmoid cells. Rhinology 19: 195–202.Google ScholarPubMed
Ommaya, A. K. (1976) Spinal fluid fistulae. Clinical Neurosurgery 23: 363–392.CrossRefGoogle ScholarPubMed
Ommaya, A. K., Di Ciro, G., Baldwin, M., Pennybacker, J. B. (1968) Nontraumatic cerebrospinal fluid rhinorrhoea. Journal of Neurology Neurosurgery and Psychiatry 31: 214–225.CrossRefGoogle Scholar
Raaf, J. (1965) Discussion of paper by Morley and Wotzman. Journal of Neurosurgery 22: 331–332.Google Scholar
Randall, J. M., Hall, K., Coulthard, M. G. (1993) Diffuse pneumocephalus due to Clostridium septicum cerebritis in haemolytic uraemic syndrome: CT demonstration. Neuroradiology 35: 218–220.CrossRefGoogle ScholarPubMed
Takahashi, K., Kanazawa, H. (1992) Pneumocephalus associated with carcinoma of the maxillary sinus. Journal of Oral and Maxillofacial Surgery 50: 405–408.CrossRefGoogle ScholarPubMed
Tobey, J. D., Loevner, L. A., Yousem, D. M. (1996) Tension pneumocephalus: a complication of invasive ossifying fibroma of the paranasal sinuses. American Journal of Roentgenology 166: 711–713.CrossRefGoogle ScholarPubMed
Young, A. E., Nevin, M. (1994) Tension pneumocephalus following mask CPAP. [letter]. Intensive Care Medicine 20:83.CrossRefGoogle ScholarPubMed