Cerebrospinal fluid rhinorrhea complicating pregnancy

Area of Science:

• Neurology
• Obstetrics
• Otolaryngology

Background:

• Cerebrospinal fluid (CSF) rhinorrhea, the leakage of CSF from the nose, is uncommon, particularly without a history of head trauma.
• Spontaneous CSF leaks can occur due to increased intracranial pressure or structural defects.

Observation:

• This report presents a unique case of a pregnant patient experiencing CSF rhinorrhea.
• The onset of symptoms coincided with the pushing phase of Lamaze exercises during labor.

Findings:

• The case highlights a rare presentation of spontaneous cerebrospinal fluid rhinorrhea during the intense Valsalva maneuver of childbirth.
• Diagnosis was confirmed, and appropriate management protocols for labor and delivery were implemented.

Implications:

• This case expands the understanding of potential triggers for spontaneous CSF rhinorrhea.
• It underscores the importance of considering CSF leaks in pregnant patients presenting with rhinorrhea during labor.
• Effective management strategies are crucial for both maternal and fetal well-being.