Spontaneous Cerebrospinal Fluid Otorrhea and Rhinorrhea in Idiopathic Intracranial Hypertension Patients

@article{Rosenfeld2013SpontaneousCF,
  title={Spontaneous Cerebrospinal Fluid Otorrhea and Rhinorrhea in Idiopathic Intracranial Hypertension Patients},
  author={Eldar Rosenfeld and Gad Dotan and Tali Jonas Kimchi and A Kesler},
  journal={Journal of Neuro-Ophthalmology},
  year={2013},
  volume={33},
  pages={113–116}
}
Background: Spontaneous cerebrospinal fluid (CSF) leakage may occur in patients with normal or increased intracranial pressure (ICP). We describe herein spontaneous CSF leakage as a result of chronic increased ICP in 4 patients with idiopathic intracranial hypertension (IIH). Although rhinorrhea previously has been described in IIH patients, to our knowledge this is the first report of otorrhea in these patients. Methods: Four patients with spontaneous CSF leakage were examined between 2001 and… 
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Reply--Spontaneous cerebrospinal fluid otorrhea and rhinorrhea in idiopathic intracranial hypertension patients.
TLDR
One goal of the report was to raise awareness among clinicians to these unusual manifestations of spontaneous rhinorrhea or otorrhea that developed in patients with IIH and increased intracranial pressure.
Primary Spontaneous Cerebrospinal Fluid Leaks and Idiopathic Intracranial Hypertension
TLDR
CSF leak occasionally may keep IIH patients symptom-free; however, classic symptoms and signs of intracranial hypertension may develop after a CSF leak is repaired, exposing these patients to a high risk of recurrence of the leak unless an ICP-lowering intervention is performed.
Successful Treatment of Spontaneous Cerebrospinal Fluid Rhinorrhea With Endoscopic Third Ventriculostomy and Lumboperitoneal Shunt: A Case Report
TLDR
A 25-year-old man without a history of head injury, tumor, or obesity shows a significant improvement in terms of his herniated tonsil and cessation of CSF rhinorrhea, and subsequently underwent lumboperitoneal shunt for treatment of ICP.
Spontaneous bilateral and concurrent cerebrospinal fluid otorrhoea: case presentation and literature review
TLDR
Careful observation of the middle-ear fluid characteristics following myringotomy can allow for prompt diagnosis of bilateral cerebrospinal fluid otorrhoea in a 44-year-old female.
A Unique Subset: Idiopathic Intracranial Hypertension Presenting as Spontaneous CSF Leak of the Anterior Skull Base
TLDR
Spontaneous CSF leaks represent a distinct variant of IIH, distinguished by decreased prevalence of headaches, lack of visual deficits, and normal opening pressures, and delayed measurement of opening pressure after leak repair may be helpful to diagnose IIH.
Do Most Patients With a Spontaneous Cerebrospinal Fluid Leak Have Idiopathic Intracranial Hypertension?
TLDR
IIH is becoming more widely recognized as a cause of spontaneous CSF leaks, but the causal relationship remains poorly characterized, and there is no consensus regarding the management of ICP after spontaneousCSF leak repair when IIH is suspected.
Isolated spontaneous cerebrospinal fluid rhinorrhoea as a rare presentation of idiopathic intracranial hypertension: Case reports with comprehensive review of literature
TLDR
Two cases which presented with acute onset spontaneous CSF rhinorrhoea without any other symptom of idiopathic intracranial hypertension are reported.
Spontaneous Skull Base Cerebrospinal Fluid Leaks and Their Relationship to Idiopathic Intracranial Hypertension
TLDR
It is hypothesize that an active CSF leak serves as an auto-diversion for CSF, thereby “treating” the intracranial hypertension and eliminating characteristic signs and symptoms at initial presentation.
Association between Lateral Skull Base Thickness and Surgical Outcomes in Spontaneous CSF Otorrhea
TLDR
An abnormally thin tegmen was significantly associated with adverse perioperative outcomes in cases of spontaneous CSF otorrhea, suggesting a thick skull base and the presence of an encephalocele may be protective against recurrence.
[Exudative otitis media as a manifestation of spontaneous otoliquorrhea].
TLDR
The master factors in the diagnosis of SOL are otomicroscopy and endoscopy of the nasopharynx, Halo test and screening determination of glucose level in the obtained discharge, as well as high-resolution CT of the temporal bone, which allows to localize the cerebrospinal fluid fistula and to determine the size of the defect.
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