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CASE REPORT
Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 187-189

Spontaneous cerebral spinal fluid rhinorrhea with meningocele secondary to congenital foramen rotundum defect: A case report and review of literature


1 Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA
2 Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida, USA
3 Department of Otolaryngology, College of Medicine, University of Florida, Jacksonville, Florida, USA
4 Department of Radiology, College of Medicine, University of Florida, Jacksonville, Florida, USA

Correspondence Address:
Dr. Gazanfar Rahmathulla
Department of Neurosurgery, College of Medicine, University of Florida, 580w 8th Street, 8th Floor, Clinical Tower 1, Jacksonville, Florida 32209
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_228_19

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Spontaneous cerebrospinal fluid (CSF) rhinorrhea is a rare occurrence. We present a case of spontaneous CSF rhinorrhea in a 57-year-old patient secondary to a sphenoid osseous defect involving the foramen rotundum and maxillary nerve with an associated arachnoid cyst and meningocele compressing the maxillary nerve. The location of the defect made correction amenable to an open skull-based approach. To the best of our knowledge, this is the first reported case of a spontaneous meningocele herniating into the sphenoid osseous defect through the medial aspect of the foramen rotundum. Early detection of these defects, open or endoscopic approaches and definitive treatment by closing the defect can result in excellent outcomes.


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