Document Detail


Spontaneous cerebrospinal fluid otorrhea and rhinorrhea in idiopathic intracranial hypertension patients.
MedLine Citation:
PMID:  23681238     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous cerebrospinal fluid (CSF) leakage may occur in patients with normal or increased intracranial pressure (ICP). We describe herein spontaneous CSF leakage as a result of chronic increased ICP in 4 patients with idiopathic intracranial hypertension (IIH). Although rhinorrhea previously has been described in IIH patients, to our knowledge this is the first report of otorrhea in these patients.
METHODS: Four patients with spontaneous CSF leakage were examined between 2001 and 2011; 3 presented with rhinorrhea and 1 with otorrhea. Clinical settings and manifestations were analyzed.
RESULTS: All patients were found to have IIH. Three had been diagnosed with IIH several years earlier and had been noncompliant with their medical treatment, whereas in 1 patient, CSF rhinorrhea was the presenting symptom of IIH.
CONCLUSION: CSF leak is a rare complication in IIH patients. We have shown that rhinorrhea can be the presenting sign in these patients and that rhinorrhea and otorrhea can be a late sign of the disease.
Authors:
Eldar Rosenfeld; Gad Dotan; Tali J Kimchi; Anat Kesler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  33     ISSN:  1536-5166     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-17     Completed Date:  2014-01-03     Revised Date:  2014-01-06    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebrospinal Fluid Otorrhea / diagnosis,  etiology*
Cerebrospinal Fluid Rhinorrhea / diagnosis,  etiology*
Female
Humans
Magnetic Resonance Imaging
Middle Aged
Pseudotumor Cerebri / complications*
Tomography Scanners, X-Ray Computed
Comments/Corrections
Comment In:
J Neuroophthalmol. 2013 Dec;33(4):417   [PMID:  24256881 ]
J Neuroophthalmol. 2013 Dec;33(4):416   [PMID:  24172313 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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