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Images in Clinical Practice

Indian Pediatrics 2000;37: 678

CSF Rhinorrhea

 

CSF rhinorrhea is a cause of recurrent meningitis. An eight-year male child had head injury with frontal bone fracture. This was followed by the development of meningitis within a few weeks. The child was asympto-matic for three years when he again developed meningitis. There was history of minimal clear discharge from the right nostril suggestive of CSF rhinorrhea. A high resolution CT scan demonstrated a fracture of the right cribriform plate. A Technetium-99 nuclear scan revealed the presence of the isotope in the nose, indicating CSF leak into the nose (Fig. 1) thus confirming the presence of CSF rhinorrhea. A functional endoscopic sinus surgery can repair the cribriform plate fracture.

Vedavati Subramanyam,
Muneeswaralu,
The Child Trust Hospital,
12A, Nageswara Road,
Chennai 600 034, India.

Fig. 1. Technetium-99 nuclear scan reveals presence of isotope in the nose (white arrow second column from left and inset)

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