PSN Murthy, T Satish Chandra, CH Jayashree*, S Nikitha Reddy and K Sri Varshini

Department of ENTHNS, DR. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, India

*Corresponding Author: CH Jayashree, Department of ENTHNS, DR. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, India.

Received: March 06, 2023; Published: April 25, 2023

Abstract

Cerebrospinal fluid leak is the most common skull base lesion which otolaryngologists do encounter. It may occur due to defect anywhere along the skull base. Primary spontaneous CSF leak has been a subject of interest owing to its increasing incidence and the associated morbidity and recurrence rates. Although the most common sites of CSF leak are cribriform plate followed by ethmoidal roof, a primary spontaneous CSF leak originating from a defect at the clival region is extremely rare. Not many cases of clival defect were documented in the literature till date. Also, in certain instances, the presentation of the patient may be one of the complications of CSF Rhinorrhea like meningitis, without any prior symptoms or signs suggestive of the condition. So, the probability of csf leak should never be ignored whenever evaluating a case of meningitis.

We report a rare case where a patient presented with meningitis and was treated by a neuro physician initially, which on further investigation revealed a CSF leak originating from a defect at the clivus. The patient was successfully managed by transnasal endoscopic repair with no recurrence or complications after one year of follow up period.

 Keywords: Cerebrospinal Fluid; Rhinorrhea; Diagnosis

References

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Citation

Citation: CH Jayashree., et al. “A Rare Case of Idiopathic Spontaneous Cerebrospinal Fluid Leak Due to a Clival Defect - A Case Report".Acta Scientific Otolaryngology 5.5 (2023): 39-42.

Copyright

Copyright: © 2023 CH Jayashree., et al. 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.