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Spontaneous Cerebrospinal Fluid Rhinorrhea: A Case Report

自發性腦脊液鼻漏:病例報告

摘要


自發性腦脊液鼻漏是一種罕見的疾病,它僅佔腦脊液鼻漏的3~4%左右,由於經常發生腦膜炎併發症,所以當病人出現清澈鼻漏時,必須小心鑑別診斷。本科於民國86年5月經歷一自發性腦脊液鼻漏之病例,患者被安排接受經鼻內視鏡手術,以及腦膜缺陷修補術,術後於門診追蹤8個月無復發現象,特提出此一病例,並就相關文獻提出報告。

並列摘要


Spontaneous cerebrospinal fluid (CSF) rhinorrhea is a rare disease. It constitutes only 3-4% of CSF fistulas. The most common complication is meningitis. It is necessary to make a thorough differential diagnosis when ipsilateral clear rhinorrhea is the complaint of the patient. Herein, we report a case of spontaneous CSF rhinorrhea. The patient was admitted for transnasal endoscopic surgery and repair of the dura defect. There were no evidence of recurrence in the past eight months. The diagnosis, etiology, and treatment of this rare condition are discussed.

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