Abstract:
Primary, spontaneous cerebrospinal fluid (CSF) leaks secondary to defects in the clivus are exceedingly rare. Additionally, primary, spontaneous CSF leaks are typically present in obese women with idiopathic intracranial hypertension (IIH). In the present study, we report the first case of a primary, spontaneous CSF leak in the inferior-posterior wall of the clivus in an atypical patient with a BMI of 18.9 kg/m2 without IIH. Accurate diagnoses of CSF leaks are imperative in the context of preventing meningitis, and delays in diagnosis and treatment are associated with worse outcomes. Improved characterization of rare, spontaneous CSF leaks may prove beneficial in correctly diagnosing affected patients.
摘要:
Primary,继发于斜坡缺损的自发性脑脊液(CSF)泄漏极为罕见。此外,小学,自发性脑脊液漏通常存在于患有特发性颅内高压(IIH)的肥胖女性中.在本研究中,我们报告了第一例小学,在BMI为18.9kg/m2而无IIH的非典型患者中,斜坡下后壁的自发性CSF泄漏。在预防脑膜炎的背景下,脑脊液泄漏的准确诊断是必要的,诊断和治疗的延迟与更差的结果相关。改进了稀有的表征,自发性CSF泄漏可能有助于正确诊断受影响的患者。