Spontaneous cerebrospinal fluid fistula secondary to hyper-pneumatized paranasal sinuses and skull base: two case reports

نویسندگان

چکیده

Abstract Background Spontaneous cerebrospinal fluid (CSF) fistulas occur due to various reasons other than well-identified causes such as trauma, neoplasia or infection. Various contributory factors are attributed formation of spontaneous CSF leaks idiopathic intracranial hypertension leading prominent arachnoid granulations. Further, presence hyper-pneumatized paranasal sinuses the skull base weakens bone and predisposes development defects further fistulas. This case report highlights two cases associated with petrous sphenoid sinus. Case presentation A 26-year-old female patient history right rhinorrhea imaging evidence bilateral bones a bony defect in on computed tomography (CT). Subsequent CT cisternography demonstrated leak extending into pneumatized apex cells, Eustachian tube, middle ear cavity, aditus, antrum mastoid air cells. Pooling contrast nasal cavity ethmoid cells was also seen. 49-year-old features hyper-pneumatization involving greater wing pterygoid process CT. Corroborative magnetic resonance (MRI) brain Constructive interference steady state (CISS) sequence revealed meningoencephalocele. Additionally, suspicious focal dehiscence observed cribriform plate pockets herniating Conclusion Hyper-pneumatized can be risk factor for leaks.

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ژورنال

عنوان ژورنال: Egyptian Journal of Radiology and Nuclear Medicine

سال: 2023

ISSN: ['2090-4762', '0378-603X']

DOI: https://doi.org/10.1186/s43055-023-00955-9