A case of spontaneous middle cranial fossa cerebrospinal fluid leak presenting as recurrent bacterial meningitis

Cerebrospinal fluid (CSF) leak is possible and can be a cause of recurrent bacterial meningitis. Petrous apex meningocele (PAM) is mostly asymptomatic and is often found during incidental imaging tests. We experienced a case of CSF rhinorrhea with recurrent meningitis in bilateral PAM after adenoidectomy. This report highlights the diagnostic process of CSF leak, identification of leakage site, and surgical approach to petrous apex lesions.

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Bacterial meningitis due to the Streptococcus mitis group in children with cerebrospinal fluid leak

IDCases ◽

10.1016/j.idcr.2022.e01406 ◽

2022 ◽

pp. e01406

Author(s):

Haruka Fukayama ◽

Kensuke Shoji ◽

Michiko Yoshida ◽

Hiroyuki Iijima ◽

Takanobu Maekawa ◽

...

Keyword(s):

Cerebrospinal Fluid ◽

Bacterial Meningitis ◽

Cerebrospinal Fluid Leak ◽

Streptococcus Mitis ◽

Fluid Leak

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Persistent Cerebrospinal Fluid Leak after Endoscopic Endonasal Approach to the Posterior Cranial Fossa

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0038-1633621 ◽

2018 ◽

Vol 79 (S 01) ◽

pp. S1-S188

Author(s):

Ana Nakassa ◽

Edinson Najera ◽

Hamid Borghei-Razavi ◽

Huy Truong ◽

Xicai Sun ◽

...

Keyword(s):

Cerebrospinal Fluid ◽

Cerebrospinal Fluid Leak ◽

Posterior Cranial Fossa ◽

Endoscopic Endonasal Approach ◽

Endonasal Approach ◽

Endoscopic Endonasal ◽

Cranial Fossa ◽

Fluid Leak

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Endoscopic transpterygoidal repair of a large cranial defect with cerebrospinal fluid leak in a patient with extensive osteoradionecrosis of the skull base: case report and technical note

The Journal of Laryngology & Otology ◽

10.1017/s0022215115002601 ◽

2015 ◽

Vol 129 (12) ◽

pp. 1243-1247 ◽

Cited By ~ 1

Author(s):

Y Brand ◽

E Lim ◽

V Waran ◽

N Prepageran

Keyword(s):

Cerebrospinal Fluid ◽

Case Report ◽

Cranial Nerves ◽

Cerebrospinal Fluid Leak ◽

Technical Note ◽

Base Case ◽

Endoscopic Endonasal ◽

Cranial Defect ◽

Cranial Fossa ◽

Fluid Leak

AbstractBackground:Endoscopic endonasal techniques have recently become the method of choice in dealing with cerebrospinal fluid leak involving the anterior cranial fossa. However, most surgeons prefer an intracranial approach when leaks involve the middle cranial fossa. This case report illustrates the possibilities of using endoscopic techniques for cerebrospinal fluid leaks involving the middle fossa.Case report:A 37-year-old male patient presented with multiple areas of cranial defect with cerebrospinal fluid leak due to osteoradionecrosis following radiation for nasopharyngeal carcinoma 4 years earlier. Clinical examination showed involvement of all cranial nerves except the IInd and XIth nerves on the left side. A prior attempt to repair the cerebrospinal fluid leak with craniotomy was not successful.Conclusion:This case demonstrates the successful endoscopic repair of a large cranial defect with cerebrospinal fluid leak.

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