Cerebrospinal Fluid Rhinorrhea with Encephalocele Post Septoplasty

Law Mei Fang, Irfan Mohamad, Thevagi Maruthamuthu, Chenthilnathan Periasamy, Zahirrudin Zakaria

Abstract


Septoplasty is a common surgical operation done for patients with deviated septum. Cerebrospinal fluid (CSF) leak post septoplasty is one of the rare complications and delayed diagnosis can lead to herniation of brain substance through the skull base defect and lead to encephalocele. We reported a case of CSF rhinorrhoea with encephalocele complicating septoplasty which was repaired surgically. We discuss the clinical importance of anatomical variations and causative mechanisms of CSF rhinorrhoea, and the diagnosis and management of the case. Early diagnosis and management of the CSF leak with encephalocele post-septoplasty are important to prevent life threatening events and for better outcome


Keywords


Cerebrospinal fluid leak; Encephalocele; Septoplasty; Complication; Repair

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