Delayed onset cerebrospinal fluid rhinorrhea.
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概要
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A 32-year-old woman developed cerebrospinal fluid (CSF) rhinorrhea 13 years after a head injury due to a traffic accident. She had been well until she experienced a difficult delivery 4 years earlier. Since then she had had watery rhinorrhea on exertion. She had suffered twice from meningitis of unknown origin. On a clinic visit for another problem, CSF rhinorrhea was suspected and a further history of fever and photophobia was elicited. RI cisternography and metrizamide CT revealed evidence of right CSF rhinorrhea. A fistula was confirmed at operation, and the defect was successfully sealed of with autogenous fascia and tissue adhesive (Biobond®).
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