Author/Authors :
Rajati, Mohsen Sinus and Surgical Endoscopic Research Center - Ghaem Hospital - Faculty of Medicine - Mashhad University of Medical Sciences , Ghassemi, Mohammad Mehdi Sinus and Surgical Endoscopic Research Center - Ghaem Hospital - Faculty of Medicine - Mashhad University of Medical Sciences , Alipour, Mohammad Department of Anesthesiology - Ghaem Hospital - Faculty of Medicine - Mashhad University of Medical Sciences , Bakhshaee, Mehdi Sinus and Surgical Endoscopic Research Center - Ghaem Hospital - Faculty of Medicine - Mashhad University of Medical Sciences , Shahabi, Ayeh Department of Otorhinolaryngology - Ghaem Hospital - Faculty of Medicine - Mashhad University of Medical Sciences , Naseri Sadr, Masoud Department of Otorhinolaryngology - Ghaem Hospital - Faculty of Medicine - Mashhad University of Medical Sciences
Abstract :
Introduction:
Leakage of cerebrospinal fluid in the skull base may be accompanied with recurrent meningitis.
The site of leakage may either be anterior (in the nose and paranasal sinuses) or posterior (in the
temporal bone). Various imaging techniques can be used to precisely locate the point of leakage
but despite all the advances in imaging techniques there are still some rare cases in which the
surgeon can’t be sure on the management approach before the beginning of surgery.
Case Report:
In this article we present one of these cases; we used intrathecal fluorescein to locate the
source of the leak and made the final decision on the operating table.
Conclusion:
Intrathecal fluorescein is helpful in locating the leakage in the ear or the nose in ambiguous cases
Keywords :
CSF , Fluorescein , Recurrent meningitis , Rhinorrhea
