Spontaneous Rhinorrhea Associated with Defect at Cribriform Plate and Orbital Roof Seen with Primary Empty Sella Syndrome: Case Report

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Gürbüz M. S. , Ayan E., Berkman M. Z.

JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH, cilt.29, ss.617-622, 2012 (SCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 29
  • Basım Tarihi: 2012
  • Sayfa Sayıları: ss.617-622


Rhinorrhea which is usually seen after trauma and surgical interventions but rarely seen spontaneously may lead to mortal complications if not treated. Traumatic rhinorrhea usually ceases without surgery however since this is not true for non-traumatic rhinorrhea, it requires surgical intervention. Spontaneous rhinorrhea is generally associated with empty sella and in these cases osseous defects are detected frequently in the walls of the paranasal sinuses and skull base. Although in these cases signs of raised intracranial pressure such as empty sella are usually seen, rhinorrhea can also be seen without raised intracranial pressure. Here we report a 46-year old woman presented complaining of clear fluid leaking from her nose who had defect of cribriform plate and orbital roof together with empty sella and was operated with the diagnosis of spontaneous rhinorrhea. In course of postoperative follow-up for eighteen months no rhinorrhea was seen.