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Anales de Otorrinolaringología Mexicana

2005, Number 2

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Otorrinolaringología 2005; 50 (2)

Multiple spontaneous fistulas of CSF in a single adult patient

Aiello-Mora Mario V, Vilar-Puig P, Hernández-Palestina M

Language: Spanish
References: 14
Page: 35-38
PDF size: 87.76 Kb.


ABSTRACT

In most cases, fistulas of cerebrospinal fluid (CSF) in temporary bone of adults are secondary to direct traumatism, surgical event or neoplasia. When the etiology does not settle down, they are defined as spontaneous. As far as its location, there is consensus in which medial cerebral fossa is more frequently affected —mainly, temporary bone—, followed by anterior cerebral fossa and, rarer time, by posterior fossa. Probability that one or more of these regions becomes jumbled in consecutive form in the same patient is extremely low. In this work, the case of a woman of 51 years of age with antecedent of CSF rhinorrhea, previously managed with two anterior fossa repairs, is exposed. Four months after the last surgical intervention, she came to Otolaryngology Service with complaint of unilateral hearing loss. On examination, tympanic membrane was bulging. A myringotomy was undertaken, obtaining CSF. Complementary studies that lead to diagnosis are described, as well as definitive surgical management.


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