Intracranial air bubbles localizing cerebrospinal fluid fistula
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Journal of Computer Assisted Tomography
|December 1, 1979
Abstract:
A case of persistent meningitis following excision of a jugular foramen neurinoma is presented. A cerebrospinal fluid fistula at the mastoid region was localized by computed tomographic demonstration of air bubbles in the posterior fossa.
Insights
Persistent meningitis after jugular foramen neurinoma surgery can be diagnosed using CT scans. Air bubbles in the posterior fossa indicate a cerebrospinal fluid fistula, aiding in diagnosis and treatment.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Jugular foramen neurinomas are tumors that can cause neurological symptoms.
- Surgical excision is a common treatment for these tumors.
- Postoperative complications, such as meningitis, can occur.
Observation:
- A patient developed persistent meningitis after surgery for a jugular foramen neurinoma.
- Cerebrospinal fluid (CSF) leakage was suspected as the cause.
- Computed tomography (CT) was used for imaging.
Findings:
- CT scans revealed air bubbles in the posterior fossa.
- This finding indicated a cerebrospinal fluid fistula.
- The fistula was located in the mastoid region.
Implications:
- Early diagnosis of CSF fistulas is crucial for managing meningitis.
- CT imaging is effective in identifying the location of CSF leaks.
- This case highlights the importance of considering CSF fistulas in persistent meningitis post-neurosurgery.