BibTex RIS Kaynak Göster

Empty sellalı bir olguda spontan serebrospinal rinore: Fistülün transnazal transsfenoidal onarımı

Yıl 2003, Cilt: 10 Sayı: 3, 110 - 113, 01.06.2003

Harun Cansız Ender İnci Nihat Şekercioğlu

Öz

Spontan serebrospinal rinore nadir görülen bir du- rumdur; daha sıklıkla serabral tümörlere veya hid- rosefalusa bağlı olarak geliflir. Empty sella sendro- mu ile birlikte görülmesi daha da nadirdir. Sol na- zal akıntı flikayetiyle baflvuran 63 yaflındaki kadın hasta, serebrospinal sıvı rinoresi öntanısı ile yatı- rıldı. Nazal sıvı incelendiğinde renksiz olduğu gö- rüldü; Pandy testi pozitif, glukoz %72 düzeyinde bulundu. Manyetik rezonans görüntülemede sup- rasellar sisternanın sellar kaviteye herniye olduğu ve sfenoid sinüsün orta derecede kontrast tuttuğu izlendi. Fistülün onarımı transnazal ve transsfeno- idal yolla gerçeklefltirildi. Hastanın befl yıllık takibi süresince herhangi bir semptom ya da nüksle kar- fl ı l a fl ı l m a d ı

Anahtar Kelimeler

Beyin omurilik sıvısı rinoresi/komplikasyon/cerrahi fistül/komplikasyon/cerrahi manyetik rezonans görüntüleme sella turcica sfenoid sinüs/cerrahi subaraknoid boflluk

Kaynakça

  • B rockbank MJ, Veitch DY, Thomson HG. Cere b ro s p i n a l fluid in the rhinitis clinic. J Laryngol Otol 1989;103:281-3.
  • Tolley NS, Lloyd GA, Williams HO. Radiological study of primary spontaneous CSF rhinorrhoea. J Laryngol Otol 1991;105:274-7.
  • Garcia-Uria J, Carrillo R, Serrano P, Bravo G. Empty sella and rhinorrhea. A report of eight treated cases. J Neurosurg 1979;50:466-71.
  • Weiss MH, Kaufman B, Richards DE. Cerebrospinal fluid rhinorrhea from an empty sella: transsphenoidal obliteration of the fistula. Technical note. J Neurosurg 1973;39:674-6.
  • Bleach NR, Stanworth PA, Stansbie JM. Spontaneous cerebrospinal fluid rhinorrhoea (an investigative prob- lem). J Laryngol Otol 1988;102:633-5.
  • Ommaya AK. Spinal fluid fistulae. Clin Neurosurg 1976;23:363-92.
  • Loew F, Pertuiset B, Chaumier ET. Traumatic, sponta- neous and postoperative CSF rhinorrhea. In: Symon L, Brihaye J, editors. Advances and technical standarts in neurosurgery. 1st ed. New York: Springer; 1984. p. 169- 207.
  • Calcaterra TC. Extracranial surgical repair of cere- b rospinal rh i n o r rhea. Ann Otol Rhinol Laryngol 1980; 89(2 Pt 1):108-16.
  • Jordan RM, Kendall JW, Kerber CW. The primary empty sella syndrome: analysis of the clinical charac- teristics, radiographic features, pituitary function and cerebrospinal fluid adenohypophysial hormone con- centrations. Am J Med 1977;62:569-80.
  • Mortara R, Norrell H. Consequences of a deficient sel- lar diaphragm. J Neurosurg 1970;32:565-73.
  • Briant TD, Bird R. Extracranial repair of cerebrospinal fluid fistulae. J Otolaryngol 1982;11:191-7.
  • Park JI, Strelzow VV, Friedman WH. Current manage- ment of cerebrospinal fluid rhinorrhea. Laryngoscope 1983;93:1294-300.
  • Chandler JR. Traumatic cerebrospinal fluid leakage. Otolaryngol Clin North Am 1983;16:623-32.
  • Persky MS, Rothstein SG, Breda SD, Cohen NL, Cooper P, Ransohoff J. Extracranial repair of cere b rospinal fluid o t o rh i n o r rhea. Laryngoscope 1991;101:134-6.
  • Marshall AH, Jones NS, Robertson IJ. CSF rhinorrhoea: the place of endoscopic sinus surgery. Br J Neurosurg 2001;15:8-12.
  • Daniilidis J, Vlachtsis K, Ferekidis E, Dimitriadis A. Intrasphenoidal encephalocele and spontaneous CSF rhinorrhoea. Rhinology 1999;37:186-9.

Spontaneous cerebrospinal fluid rhinorrhea associated with empty sella: a transnasal-transsphenoidal repair of the fistula

Yıl 2003, Cilt: 10 Sayı: 3, 110 - 113, 01.06.2003

Harun Cansız Ender İnci Nihat Şekercioğlu

Öz

Spontaneous cerebrospinal rhinorrhea is a rare clinical condition. More commonly it develops due to cerebral tumours or hydrocephalus; it is seldom seen in association with empty sella syndrome. A sixty-three-year- old woman who presented with left nasal discharge was hospitalized on the suspicion of CSF rhinorrhea.Analysis of the nasal fluid revealed a clear colour, a positive Pandy’s test, and a positive result for glucose 72% . On magnetic resonance seans, herniation of the suprasellar cistern was observed into the sellar cavity, and the left sphenoid sinüs was filled with contrast medium. The repair of the fistula was performed via a transnasal and transsphenoidal approach. The patient was followed-up for five years without any symptoms or recurrences.

Anahtar Kelimeler

Cerebrospinal fluid rhinorrhea/complications/ surgery fistula/complications/surgery magnetic resonance imaging sellaturcica sphenoid sinus/surgery subarachnoid space

Kaynakça

  • B rockbank MJ, Veitch DY, Thomson HG. Cere b ro s p i n a l fluid in the rhinitis clinic. J Laryngol Otol 1989;103:281-3.
  • Tolley NS, Lloyd GA, Williams HO. Radiological study of primary spontaneous CSF rhinorrhoea. J Laryngol Otol 1991;105:274-7.
  • Garcia-Uria J, Carrillo R, Serrano P, Bravo G. Empty sella and rhinorrhea. A report of eight treated cases. J Neurosurg 1979;50:466-71.
  • Weiss MH, Kaufman B, Richards DE. Cerebrospinal fluid rhinorrhea from an empty sella: transsphenoidal obliteration of the fistula. Technical note. J Neurosurg 1973;39:674-6.
  • Bleach NR, Stanworth PA, Stansbie JM. Spontaneous cerebrospinal fluid rhinorrhoea (an investigative prob- lem). J Laryngol Otol 1988;102:633-5.
  • Ommaya AK. Spinal fluid fistulae. Clin Neurosurg 1976;23:363-92.
  • Loew F, Pertuiset B, Chaumier ET. Traumatic, sponta- neous and postoperative CSF rhinorrhea. In: Symon L, Brihaye J, editors. Advances and technical standarts in neurosurgery. 1st ed. New York: Springer; 1984. p. 169- 207.
  • Calcaterra TC. Extracranial surgical repair of cere- b rospinal rh i n o r rhea. Ann Otol Rhinol Laryngol 1980; 89(2 Pt 1):108-16.
  • Jordan RM, Kendall JW, Kerber CW. The primary empty sella syndrome: analysis of the clinical charac- teristics, radiographic features, pituitary function and cerebrospinal fluid adenohypophysial hormone con- centrations. Am J Med 1977;62:569-80.
  • Mortara R, Norrell H. Consequences of a deficient sel- lar diaphragm. J Neurosurg 1970;32:565-73.
  • Briant TD, Bird R. Extracranial repair of cerebrospinal fluid fistulae. J Otolaryngol 1982;11:191-7.
  • Park JI, Strelzow VV, Friedman WH. Current manage- ment of cerebrospinal fluid rhinorrhea. Laryngoscope 1983;93:1294-300.
  • Chandler JR. Traumatic cerebrospinal fluid leakage. Otolaryngol Clin North Am 1983;16:623-32.
  • Persky MS, Rothstein SG, Breda SD, Cohen NL, Cooper P, Ransohoff J. Extracranial repair of cere b rospinal fluid o t o rh i n o r rhea. Laryngoscope 1991;101:134-6.
  • Marshall AH, Jones NS, Robertson IJ. CSF rhinorrhoea: the place of endoscopic sinus surgery. Br J Neurosurg 2001;15:8-12.
  • Daniilidis J, Vlachtsis K, Ferekidis E, Dimitriadis A. Intrasphenoidal encephalocele and spontaneous CSF rhinorrhoea. Rhinology 1999;37:186-9.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Olgu Sunumu
Yazarlar

Harun Cansız Bu kişi benim

Ender İnci Bu kişi benim

Nihat Şekercioğlu Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2003
Yayımlandığı Sayı Yıl 2003 Cilt: 10 Sayı: 3

Kaynak Göster

APA Cansız, H., İnci, E., & Şekercioğlu, N. (2003). Spontaneous cerebrospinal fluid rhinorrhea associated with empty sella: a transnasal-transsphenoidal repair of the fistula. The Turkish Journal of Ear Nose and Throat, 10(3), 110-113.
AMA Cansız H, İnci E, Şekercioğlu N. Spontaneous cerebrospinal fluid rhinorrhea associated with empty sella: a transnasal-transsphenoidal repair of the fistula. Tr-ENT. Haziran 2003;10(3):110-113.
Chicago Cansız, Harun, Ender İnci, ve Nihat Şekercioğlu. “Spontaneous Cerebrospinal Fluid Rhinorrhea Associated With Empty Sella: A Transnasal-Transsphenoidal Repair of the Fistula”. The Turkish Journal of Ear Nose and Throat 10, sy. 3 (Haziran 2003): 110-13.
EndNote Cansız H, İnci E, Şekercioğlu N (01 Haziran 2003) Spontaneous cerebrospinal fluid rhinorrhea associated with empty sella: a transnasal-transsphenoidal repair of the fistula. The Turkish Journal of Ear Nose and Throat 10 3 110–113.
IEEE H. Cansız, E. İnci, ve N. Şekercioğlu, “Spontaneous cerebrospinal fluid rhinorrhea associated with empty sella: a transnasal-transsphenoidal repair of the fistula”, Tr-ENT, c. 10, sy. 3, ss. 110–113, 2003.
ISNAD Cansız, Harun vd. “Spontaneous Cerebrospinal Fluid Rhinorrhea Associated With Empty Sella: A Transnasal-Transsphenoidal Repair of the Fistula”. The Turkish Journal of Ear Nose and Throat 10/3 (Haziran 2003), 110-113.
JAMA Cansız H, İnci E, Şekercioğlu N. Spontaneous cerebrospinal fluid rhinorrhea associated with empty sella: a transnasal-transsphenoidal repair of the fistula. Tr-ENT. 2003;10:110–113.
MLA Cansız, Harun vd. “Spontaneous Cerebrospinal Fluid Rhinorrhea Associated With Empty Sella: A Transnasal-Transsphenoidal Repair of the Fistula”. The Turkish Journal of Ear Nose and Throat, c. 10, sy. 3, 2003, ss. 110-3.
Vancouver Cansız H, İnci E, Şekercioğlu N. Spontaneous cerebrospinal fluid rhinorrhea associated with empty sella: a transnasal-transsphenoidal repair of the fistula. Tr-ENT. 2003;10(3):110-3.