FRONTOBASAL TRAUMA WITH RECURRENT FISTULA AFTER 25 YEARS - CASE REPORT
Authors:
O. Kalita; M. Vaverka; M. Houdek
Authors‘ workplace:
Dpt. of Neurosurgery of Teaching Hospital and Palacky University Olomouc
; Neurochirurgická klinika FN a LF UP Olomouc
Published in:
Úraz chir. 13., 2005, č.2
Overview
The aim of this case report is to demonstrate existing discrepancy in opinion regarding timing of surgery to resolve cranionasal communication and the pitfall of chronic CSF fistula resolution. This patient was expirienced frontobasal injury with rhinorrhea in 1970 treated using conservative method to stem CSF leakage. 4,5 years later the patient had meningitis. He has underwent surgery after solution of intracranial inflammation. For the next 25 year he was asymptomatic. He was admitted to department of neurology with lumbago. Steroids was administered to epidural intraspinal space. After this intermitent CSF patological leakage was resumed. The patient was admitted to our department 4 month latter. The findings of invasive and noninvasive investigation were equivocal for posttraumatic and postsurgery skull base changes. Subsequent surgery disclosed base frontal lobe abscess with chronic CSF fistula. Postsurgical recovery was unevenfull. The hyporesorption hydrocephalus which was developed within postsurgery period was resolved after several lumbal punctures a diluran administrations.
Key words:
frontobasal trauma, meningitis, abscess, chronic CSF fistula, single early stage repair.
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Labels
Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
2005 Issue 2
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