Monali Chaturvedi*1, Deepak Jha2, Aldrin Anthony3 and Siddharth Maheshwari3
1Assistant Professor Neuroradiology IHBAS, Delhi, India 2Professor Neurosurgery, AIIMS Jodhpur, India 3Assistant Professor Neurology IHBAS, Delhi, India
*Corresponding Author: Monali Chaturvedi, Department of Neuroradiology, IHBAS, Delhi, India.
Received: June 20, 2022; Published: December 07, 2022
Spontaneous cerebrospinal fluid (CSF) leaks that occur without underlying etiology; involving the sphenoid bone are rare. They pose a diagnostic challenge and an impending risk of complications like rhinorrhea, low pressure headaches or meningitis. Causes for such spontaneous rhinorrhoea include congenital anatomic defects but involvement of sphenoid bone is rare Neuroimaging plays a pivotal role in identification of the site of leak thereby aiding surgical planning and approach for dural repair. We report two such cases of spontaneous CSF rhinorrhea presenting with watery discharge from nose and headache for a prolonged period with osteodural defects in sphenoid revealed on neuroimaging. Surgical intervention was done on one of the cases while other had a conservative management.
Keywords: Spontaneous Sphenoid; CSF Leak; MRI
Citation: Monali Chaturvedi. “Leaking Skull Base - Imaging of Two Cases of Spontaneous Cerebrospinal Fluid (CSF) Rhinorrhea Involving Sphenoid Sinus". Acta Scientific Neurology 6.1 (2023): 23-27.
Copyright: © 2023 Monali Chaturvedi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.