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Pseudo-cerebrospinal fluid rhinorrhea following traumatic cerebrospinal fluid rhinorrhea surgery: a case report

摘要篇首:Pseudo-cerebrospinal fluid rhinorrhea is very rarely reported. In 1994, our hospital admitted such a case, and we report it here.CASE REPORTOn May 28, 1994, a 37-year-old man was readmitted to our hospital one-year following treatment for head injury and cerebrospinal fluid rhinorrhea. He had been suffering from a recurrence of rhinorrhea for three months at the time of his readmission. One year prior, the patient had been suffering from a recurrence of the rhinorrhea for three meters. He complained of headaches, dizziness and a right rhinorrhea. The fluid was positive for glucose. Skull-base film showed a traverse fracture of the right petrous bone. For three months, conservative treatment of the rhinorrhea continued, then he was first admitted to our hospital. After admission, a right temperal craniotomy was performed. During surgery, a traverse fracture of the petrous bone was found. In addition, the dura matter over the fracture line was torn, and the fibrotic brain tissue with arachnoid protruded into the fracture fissure. The dura adhering to the edge of the fracture fissure was explored and the bared internal carotid artery discovered. The fracture fissure was occluded with free-muscle and fascia lata grafts. Postoperative intravenous antibiotic therapy and cerebrospinal fluid drainage were carried on for 72 hours. Ten days after the operation the patient was discharged without any symptoms.

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作者单位 Department of Neurosurgery [1] Department of Ear, Nose and Throat [2] Shanxi Provincial People's Hospital, Taiyuan 030012, China [3]
分类号 R74
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发布时间 2004-01-08
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中华医学杂志(英文版)

中华医学杂志(英文版)

2001年114卷3期

324-325页

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