PDF(Pubmed)
Abstract：
Cerebrospinal Fluid (CSF) leakage results from a defect in the skull base, which communicates the subarachnoid space with the nasal cavity. The most common cause of CSF leakage is traumatic, and non-traumatic causes are less common. This case report illustrates a case of a woman who presented to the emergency department with clear fluid pouring from her nose for three weeks with a fever. The patient had pneumococcal meningitis and Idiopathic Intracranial Hypertension (ICH) seven years ago. Computed Tomography (CT) sinuses showed the defect seen on the right side of the cribriform plate, and the Magnetic Resonant Imaging (MRI) confirmed the CSF leakage. The CSF leakage was diagnosed by positive B transferrin. This case highlights a rare condition that needs early detection and treatment to prevent complications such as ascending meningitis.
摘要：
脑脊液（CSF）渗漏是由颅底缺损引起的，将蛛网膜下腔与鼻腔连通。脑脊液漏的最常见原因是外伤,非创伤性原因不太常见。此病例报告说明了一例妇女因发烧而向急诊科就诊，从鼻子流出透明液体持续三周。该患者七年前患有肺炎球菌性脑膜炎和特发性颅内高血压（ICH）。计算机断层扫描（CT）鼻窦显示在筛板右侧可见的缺损，磁共振成像（MRI）证实了脑脊液渗漏。脑脊液漏出由B转铁蛋白阳性诊断。这种情况突出了一种罕见的疾病，需要早期发现和治疗以防止诸如上行性脑膜炎之类的并发症。
