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Unexpected cerebrospinal fluid rhinorrhea after a spinal anesthesia
Kadriye Serife Ugur1, Mehmet Gunduz, Hanifi Kurtaran
1Department of Otorhinolaryngology Head and Neck Surgery, Fatih University Faculty of Medicine, Ankara, Turkey.
A woman experienced cerebrospinal fluid (CSF) leak after spinal anesthesia due to a cribriform plate defect. Surgical repair via an endonasal approach successfully resolved the CSF rhinorrhea.
Area of Science:
- Neurosurgery
- Otolaryngology
Background:
- Spinal anesthesia can rarely lead to cerebrospinal fluid (CSF) leakage.
- CSF rhinorrhea, or leakage of CSF from the nose, is a serious complication.
Observation:
- A 47-year-old woman developed persistent watery nasal discharge post-orthopedic surgery with spinal anesthesia.
- Nasal fluid analysis confirmed cerebrospinal fluid (CSF) leakage, indicative of CSF rhinorrhea.
Findings:
- Computed tomographic cisternography identified a bone defect in the cribriform plate.
- An endonasal approach was utilized to repair the defect, successfully treating the CSF rhinorrhea.
Implications:
- This case highlights an unusual cause of CSF rhinorrhea following spinal anesthesia.
- Effective diagnosis and surgical management, including the use of composite grafts, are crucial for treating CSF leaks.
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