Delayed Cerebrospinal Fluid Rhinorrhea Seven Months After Transsphenoidal Surgery for Pituitary Adenoma : Case Report
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概要
- 論文の詳細を見る
A 51-year-old female had undergone transsphenoidal surgery for pituitary adenoma producing growth hormone.Cerebrospinal fluid(CSF)leakage occurred during surgery.The sella turcica and sphenoid sinus were packed with abdominal fat and fibrin glue, buttressing the closure with a fragment of sphenoid bone.No CSF rhinorrhea occurred postoperatively.Severe meningitis developed 7 months later.CSF rhinorrhea occurred 10 days after readmission.Exploration through the transsphenoidal approach identified a small hole at the floor of the sella and CSF leaking into the sphenoid sinus through the hole.The CSF leakage stopped after the second surgery.Delayed CSF rhinorrhea without bromocriptine administration is very rare.The cause of delayed CSF rhinorrhea remains unclear.CSF rhinorrhea should be suspected if meningitis develops even months after transsphenoidal surgery.
- 日本脳神経外科学会の論文
- 2000-03-15
著者
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TAMAKI Norihiko
Department of Neurosurgery, Kobe University School of Medicine
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KUDO Hiroshi
Department of Neurosurgery, Hyogo Cancer Center
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Kudo Hiroshi
Department Of Chemistry Graduate School Of Science Tohoku University
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SAKAGAMI Yoshio
Department of Neurosurgery, Kobe University Graduate School of Medicine
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KAWAMURA Atsufumi
Department of Neurosurgery, Hyogo Prefectural Kobe Children's Hospital
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Tamaki Norihiko
Department Of Neurosurgery Kobe University School Of Medicine
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Tamaki Norihiko
Department Of Meurosurgery Kobe University School Of Mridicine
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Kawamura Atsufumi
Department Of Neurosurgery Hyogo Prefectural Kobe Children's Hospital
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Kawamura Atsufumi
Department Of Neurosurgery Rokko Island Hospital
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Sakagami Yoshio
Department Of Neurosurgery Kobe University Graduate School Of Medicine
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Sakagami Yoshio
Department Of Neurosurgery Rokko Island Hospital
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Kudo Hiroshi
Department Of Neurosurgery Rokko Island Hospital
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Kudo Hiroshi
Department Of Biology Faculty Of Science Kobe University
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