Abstract
Tension Pneumocephalus and spontaneous CSF rhinorrhea are very rare associations in clinical practice. We report a case of 65 years old male with clear rhinorrhea, severe frontal headache, vomiting and lethargy for a week. MR Cisternography and CT Paranasal sinuses showed significant Tension Pneumocephalus with defect in the posterior wall of sphenoid sinus and CSF pooling in the sphenoid sinus. Endoscopic trans-sphenoidal CSF leak repair was done without any delay followed by complete resolution of Tension Pneumocephalus with in 4 post op days. Prompt precise diagnosis and early intervention of Tension Pneumocephalus is vital to avoid neurological complications.
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We thank the departments of Neurosurgery, Neuroanaesthesia, Radiodiagnosis for their valuable support.
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Sangeetha, T.S., Muraleedharan, A. A Rare Case of Tension Pneumocephalus with Spontaneous CSF Rhinorrhea Managed by Endoscopic Trans-Sphenoidal CSF Leak Repair. Indian J Otolaryngol Head Neck Surg 75 (Suppl 1), 668–671 (2023). https://doi.org/10.1007/s12070-022-03223-w
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DOI: https://doi.org/10.1007/s12070-022-03223-w