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Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
Gorham-Stout disease and cerebrospinal fluid otorrhea
Carmen Hernández-Marqués1, Ana Serrano González, Francisco Cordobés Ortega
1Department of Pediatric Hematology-Oncology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain. chmtl@hotmail.com
Objective And Importance:
Gorham-Stout disease is a rare entity characterized by vascular proliferation causing local destruction of bone tissue. Owing to its low incidence and variable clinical presentation, the diagnosis requires a high degree of awareness by the clinician.
Clinical Presentation:
We present the case of a 2-year-old boy diagnosed of Gorham-Stout syndrome with involvement of the temporal bone and secondary cerebrospinal fluid (CSF) leakage.
Intervention:
Because of the CSF leakage, the patient required two surgical interventions. The second intervention included mastectomy and placement of a patch and a lumbar drainage device during 50 days, after which the leakage ceased.
Conclusion:
Gorham-Stout disease is a rare condition that can affect the skull base and even present with CSF leakage.
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