differentiation between csf otorrhea and rhinorrhea in an obscure case of recurrent meningitis

نویسندگان

mohsen rajati sinus and surgical endoscopic research center, ghaem hospital, faculty of medicine, mashhad university of medical sciences, mashhad, iran.

mohammad mehdi ghassemi sinus and surgical endoscopic research center, ghaem hospital, faculty of medicine, mashhad university of medical sciences, mashhad, iran.

mohammad alipour department of anesthesiology,ghaem hospital,faculty of medicine,mashhad university of medical sciences,mashhad,iran.

mehdi bakhshaee sinus and surgical endoscopic research center, ghaem hospital, faculty of medicine, mashhad university of medical sciences, mashhad, iran.

چکیده

introduction: leakage of cerebrospinal fluid in the skull base may be accompanied with recurrent meningitis. the site of leakage may either be anterior (in the nose and paranasal sinuses) or posterior (in the temporal bone). various imaging techniques can be used to precisely locate the point of leakage but despite all the advances in imaging techniques there are still some rare cases in which the surgeon can’t be sure on the management approach before the beginning of surgery.   case report: in this article we present one of these cases; we used intrathecal fluorescein to locate the source of the leak and made the final decision on the operating table.   conclusion: intrathecal fluorescein is helpful in locating the leakage in the ear or the nose in ambiguous cases.

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Differentiation between CSF Otorrhea and Rhinorrhea in an Obscure Case of Recurrent Meningitis

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Differentiation between CSF Otorrhea and Rhinorrhea in an Obscure Case of Recurrent Meningitis

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"This material was prepared by resident physicians in partial fulfillment of educational requirements established for the Postgraduate Training Program of the UTMB Department of Otolaryngology/Head and Neck Surgery and was not intended for clinical use in its present form. It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or i...

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عنوان ژورنال:
iranian journal of otorhinolaryngology

جلد ۲۶، شماره ۲، صفحات ۱۱۹-۱۲۳

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