Rhinorrhea and pneumocephalus after cerebrospinal fluid shunting. The role of lateral extensions of the sphenoid sinus

A. Komisar, S. Weitz, Robert J. Ruben

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Pneumocephalus is usually seen after trauma or neurologic surgery. A rare presentation is after cerebrospinal fluid (CSF) shunting for rhinorrhea. This may be a manifestation of shunt malfunction or of the failure to close a preexisting fistulous tract. A common site of failure is the sphenoid sinus, where CSF may leak from a dehiscence in the middle cranial fossa floor. These dehiscences often communicate with the lateral extensions of the sphenoid. This complication is best managed by craniotomy with direct inspection of the floor of the middle cranial fossa and correction of deranged CSF dynamics.

Original languageEnglish (US)
Pages (from-to)194-197
Number of pages4
JournalOtolaryngology - Head and Neck Surgery
Volume94
Issue number2
StatePublished - 1986

Fingerprint

Pneumocephalus
Middle Cranial Fossa
Sphenoid Sinus
Cerebrospinal Fluid
Cerebrospinal Fluid Rhinorrhea
Craniotomy
Hydrodynamics
Nervous System
Wounds and Injuries

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Rhinorrhea and pneumocephalus after cerebrospinal fluid shunting. The role of lateral extensions of the sphenoid sinus. / Komisar, A.; Weitz, S.; Ruben, Robert J.

In: Otolaryngology - Head and Neck Surgery, Vol. 94, No. 2, 1986, p. 194-197.

Research output: Contribution to journalArticle

@article{a971487ce1a64ddc943cba843b95d65a,
title = "Rhinorrhea and pneumocephalus after cerebrospinal fluid shunting. The role of lateral extensions of the sphenoid sinus",
abstract = "Pneumocephalus is usually seen after trauma or neurologic surgery. A rare presentation is after cerebrospinal fluid (CSF) shunting for rhinorrhea. This may be a manifestation of shunt malfunction or of the failure to close a preexisting fistulous tract. A common site of failure is the sphenoid sinus, where CSF may leak from a dehiscence in the middle cranial fossa floor. These dehiscences often communicate with the lateral extensions of the sphenoid. This complication is best managed by craniotomy with direct inspection of the floor of the middle cranial fossa and correction of deranged CSF dynamics.",
author = "A. Komisar and S. Weitz and Ruben, {Robert J.}",
year = "1986",
language = "English (US)",
volume = "94",
pages = "194--197",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "2",

}

TY - JOUR

T1 - Rhinorrhea and pneumocephalus after cerebrospinal fluid shunting. The role of lateral extensions of the sphenoid sinus

AU - Komisar, A.

AU - Weitz, S.

AU - Ruben, Robert J.

PY - 1986

Y1 - 1986

N2 - Pneumocephalus is usually seen after trauma or neurologic surgery. A rare presentation is after cerebrospinal fluid (CSF) shunting for rhinorrhea. This may be a manifestation of shunt malfunction or of the failure to close a preexisting fistulous tract. A common site of failure is the sphenoid sinus, where CSF may leak from a dehiscence in the middle cranial fossa floor. These dehiscences often communicate with the lateral extensions of the sphenoid. This complication is best managed by craniotomy with direct inspection of the floor of the middle cranial fossa and correction of deranged CSF dynamics.

AB - Pneumocephalus is usually seen after trauma or neurologic surgery. A rare presentation is after cerebrospinal fluid (CSF) shunting for rhinorrhea. This may be a manifestation of shunt malfunction or of the failure to close a preexisting fistulous tract. A common site of failure is the sphenoid sinus, where CSF may leak from a dehiscence in the middle cranial fossa floor. These dehiscences often communicate with the lateral extensions of the sphenoid. This complication is best managed by craniotomy with direct inspection of the floor of the middle cranial fossa and correction of deranged CSF dynamics.

UR - http://www.scopus.com/inward/record.url?scp=0022596490&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022596490&partnerID=8YFLogxK

M3 - Article

C2 - 3083334

AN - SCOPUS:0022596490

VL - 94

SP - 194

EP - 197

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 2

ER -