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Published on: February 29, 2020
Spontaneous Cerebrospinal Fluid Rhinorrhea in End Stage Renal Disease
Balachandran P Jyothsna1, Kunjappa Vinod Kumar1, Narayanan V Unni1
1Department of Nephrology, Aster Medcity, Kochi, Kerala, India.
Abstract:
We report a case of spontaneous cerebrospinal fluid (CSF) rhinorrhea in a patient on maintenance hemodialysis. There was no previous history of trauma or surgery. Secondary hyperparathyroidism due to progression of chronic kidney disease (CKD) and a rise in intracranial pressure resulted in spontaneous cerebrospinal fluid rhinorrhea. He underwent endoscopic endonasal repair with theco-peritoneal shunt; CSF leak stopped completely and the patient is doing well on one year follow up.
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