Non-Traumatic Cerebrospinal Fluid Leak from a Sphenoid Sinus Midline Roof Defect Previously Managed as Allergic Rhinitis

Authors

  • Jan Paul D. Formalejo Department of Otorhinolaryngology – Head and Neck Surgery University of the East – Ramon Magsaysay Memorial Medical Center, Inc.
  • Jay Pee M. Amable Department of Otorhinolaryngology – Head and Neck Surgery University of the East – Ramon Magsaysay Memorial Medical Center, Inc.

DOI:

https://doi.org/10.32412/pjohns.v34i1.967

Keywords:

cerebrospinal fluid rhinorrhea, cerebrospinal fluid leak, sphenoid sinus midline roof defect

Abstract

Objective: To present a case of a non-traumatic cerebrospinal fluid (CSF) rhinorrhea from a midline sphenoid sinus roof that presented as a persistent postnasal drip and was previously managed as allergic rhinitis for 43 years.

 

Methods:

            Design:           Case Report

            Setting:           Tertiary Private University Hospital

            Participants:   One

 

Results: A 58-year-old obese and hypertensive man presented with persistent post nasal drip and intermittent clear watery rhinorrhea. He had been managed as a case of allergic rhinitis for 43 years and was maintained on nasal steroid sprays without relief. Nasal endoscopy revealed pulsating clear watery discharge from the sphenoid ostium. On trans-sphenoidal surgery, a midline sphenoid sinus roof defect was sealed using a Hadad-Bassagasteguy flap.

 

Conclusion: CSF rhinorrhea is uncommon and may mimic more common diseases such as allergic rhinitis. Because misdiagnosis can then lead to life threatening complications, physicians should be vigilant when seeing patients with clear watery rhinorrhea to be able to arrive at a proper diagnosis and provide prompt treatment.

 

Keywords: cerebrospinal fluid rhinorrhea; cerebrospinal fluid leak; sphenoid sinus midline roof defect

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Published

2019-06-18

How to Cite

1.
Formalejo JPD, Amable JPM. Non-Traumatic Cerebrospinal Fluid Leak from a Sphenoid Sinus Midline Roof Defect Previously Managed as Allergic Rhinitis. Philipp J Otolaryngol Head Neck Surg [Internet]. 2019 Jun. 18 [cited 2024 Apr. 23];34(1):48-51. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/967

Issue

Vol. 34 No. 1 (2019): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Case Reports

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.