+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Rhinorrhea and pneumocephalus after cerebrospinal fluid shunting. The role of lateral extensions of the sphenoid sinus



Rhinorrhea and pneumocephalus after cerebrospinal fluid shunting. The role of lateral extensions of the sphenoid sinus



Otolaryngology--Head and Neck Surgery 94(2): 194-197



Pneumocephalus is usually seen after trauma or neurologic surgery. A rare presentation is after cerebrospinal fluid (CSF) shunting for rhinorrhea. This may be a manifestation of shunt malfunction or of the failure to close a preexisting fistulous tract. A common site of failure is the sphenoid sinus, where CSF may leak from a dehiscence in the middle cranial fossa floor. These dehiscences often communicate with lateral extensions of the sphenoid. This complication is best managed by craniotomy with direct inspection of the floor of the middle cranial fossa and correction of deranged CSF dynamics.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 041273635

Download citation: RISBibTeXText

PMID: 3083334

DOI: 10.1177/019459988609400211


Related references

Cerebrospinal fluid rhinorrhea from the lateral recess of sphenoid sinus: More to it than meets the eye. Neurology India 67(1): 201-206, 2019

A case of spontaneous cerebrospinal fluid rhinorrhea in lateral recess of the sphenoid sinus. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 47(2): 149-150, 2012

Management of sphenoid sinus cerebrospinal fluid rhinorrhea: making use of an extended approach to the sphenoid sinus. Otolaryngology--Head and Neck Surgery 126(2): 147-153, 2002

Cerebrospinal fluid rhinorrhea with spontaneous sphenoid sinus fistula. Archives of Neurology 66(8): 1038-1039, 2009

Cerebrospinal fluid rhinorrhea: the significance of an air-fluid level in the sphenoid sinus. Radiology 135(1): 101-103, 1980

The significance of fluid-gas displacement in the sphenoid sinus in post-traumatic cerebrospinal fluid rhinorrhea. Radiology 108(3): 603-606, 1973

A Unique Case of Bilateral Recurrent Sphenoid Sinus Cerebrospinal Fluid Leaks: Primary Acquired Leak Within the Lateral Sphenoid Sinus Recess, Followed by a Leak via Sternberg's Canal. Annals of Otology Rhinology and Laryngology 124(8): 593-597, 2015

Endoscopic surgical treatment of isolated inverted papilloma of the sphenoid sinus complicated by cerebrospinal fluid (CSF) rhinorrhea--case report. Otolaryngologia Polska 63(7): 93-95, 2009

Supraorbital cell cerebrospinal fluid rhinorrhea misdiagnosed as frontal sinus cerebrospinal fluid rhinorrhea: a case report. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 52(2): 109-110, 2017

Cerebrospinal fluid dynamics and rhinorrhea: the role of shunting in repair. Otolaryngology--Head and Neck Surgery 91(4): 399-403, 1983

Case of paranasal sinus osteoma with cerebrospinal rhinorrhea and pneumocephalus. Neurologia i Neurochirurgia Polska 14(4): 449-452, 1980

Spontaneous cerebrospinal rhinorrhea from the sphenoid sinus. Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology 84(5): Orl916, 1977

Treatment strategies for lateral sphenoid sinus recess cerebrospinal fluid leaks. Archives of Otolaryngology--Head and Neck Surgery 138(5): 471-478, 2012

Endoscopic repair of cerebrospinal fluid leaks in the lateral sphenoid sinus recess. Journal of Neurosurgery 112(2): 444-448, 2010

Lateral sphenoid sinus recess cerebrospinal fluid leak: a case series. European Archives of Oto-Rhino-Laryngology 271(9): 2587-2594, 2014