Brajesh Kumar¹* and Anita Kumari²

¹Assistant Professor, Department of Neurosurgery, Indira Gandhi Institute of Medical sciences, Sheikhpura, Patna, Bihar, India
²Associate Professor, Department of O&G, NSMCH, India

*Corresponding Author: Brajesh Kumar, Assistant Professor, Department of Neurosurgery, Indira Gandhi Institute of Medical sciences, Sheikhpura, Patna, Bihar, India.

Received: November 14, 2022; Published: November 29, 2022

Abstract

Background: Cerebrospinal fluid (CSF) when comes out from the nasal cavity is called CSF Rhinorrhoea which can either be spontaneous or non-spontaneous. Trauma (Accidental and Surgical), tumors and exposure to radiation therapy to the base of skull are the most common causes of Non-spontaneous CSF Rhinorrhoea [1]. Congenital anatomical defects are the commonest cause of spontaneous CSF Rhinorrhoea which are not very common and has been reported, less than 4% [2].

Objective: To discuss the case of a Fourth Ventricle Choroid Plexus Papilloma in a 28-year-old female with 5 month amenorrhea which presented with spontaneous CSF rhinorrhea as an isolated complain. She was treated with primary management (microsurgical excision) of the tumor. CSF rhinorrhea was secondary to raised ICP (Intra cranial pressure) which caused the dehiscence of the cribriform plate.

Method: We planned for microsurgical excision of fourth ventricle choroid plexus papilloma with a thought that in next stage we will do the surgery for CSF rhinorrhea if that not resolve with tumor excision.

Keywords: CSF Rhinorrhea; Choroid Plexus Tumour; Intracranial Pressure

References

1. Schlosser RJ., et al. “Elevated intracranial pressures in spontaneous cerebrospinal fluid leaks”. American Journal of Rhinology 17 (2003): 191-195.
2. Abuabara A. “Cerebrospinal fluid rhinorrhoea: diagnosis and management”. Medicina Oral, Patologia Oral, Cirugia Bucal 12 (2007): 397-400.
3. Badia L., et al. “Primary spontaneous cerebrospinal fluid rhinorrhea and obesity”. American Journal of Rhinology 15 (2001): 117-119.
4. Perez MA., et al. “Primary spontaneous cerebrospinal fluid leaks and idiopathic intracranial hypertension”. Journal of Neuroophthalmology 33 (2013): 330-337.
5. Lieberman SM., et al. “Spontaneous CSF rhinorrhea: prevalence of multiple simultaneous skull base defects”. American Journal of Rhinology Allergy 29 (2015): 77-81.
6. Chan DTM., et al. “How useful is glucose detection in diagnosing cerebrospinal fluid leak? The rational use of CT and Beta-2 transferrin assay in detection of cerebrospinal fluid fistula”. Asian Journal of Surgery 27 (2004): 39-42.
7. Mantur M., et al. “Cerebrospinal fluid leakage--reliable diagnostic methods”. Clinica Chimica Acta 412 (2011): 837-840.
8. Shetty PG., et al. “Evaluation of high-resolution CT and MR Cisternography in the diagnosis of cerebrospinal fluid fistula”. AJNR American Journal of Neuroradiology 19 (1998): 633-639.
9. Chaaban MR., et al. “Acetazolamide for high intracranial pressure cerebrospinal fluid leaks”. International Forum Allergy Rhinology 3 (2013): 718-721.
10. Hubbard JL., et al. “Spontaneous cerebrospinal fluid rhinorrhea: evolving concepts in diagnosis and surgical management based on the Mayo Clinic experience from 1970 through 1981”. Neurosurgery 16 (1985): 314-321.
11. Mattox DE and Kennedy DW. “Endoscopic management of cerebrospinal fluid leaks and cephaloceles”. Laryngoscope 100 (1990): 857-862.
12. Komotar RJ., et al. “Endoscopic endonasal versus open repair of anterior skull base CSF leak, meningocele, and encephalocele: a systematic review of outcomes”. Journal of Neurological Surgery, Part A: Central European Neurosurgery 74 (2013): 239-250.

Citation

Citation: Brajesh Kumar and Anita Kumari. “Fourth Ventricle Choroid Plexus Papilloma presenting with CSF Rhinorrhoea".Acta Scientific Otolaryngology 4.12 (2022): 36-41.

Copyright

Copyright: © 2022 Brajesh Kumar and Anita Kumari. 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.