Rekurráló meningitist okozó spontán liquorrhoea

Translated title of the contribution: Recurrent meningitis caused by spontaneous liquorrhoea

Géza Tóth, László Futo, Sándor Sashalmi, Imre Kissík, Andrea Homonnai, Kis Zsuzsanna, Marianna Kordás, Sándor Czirják

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - The most common and most important cause of recurrent meningitis is bacterial infection. In the majority of cases, recurrent episodes of bacterial meningitis are associated with certain anatomical abnormalities that enable bacteria to penetrate subarachnoideal space. Nasal liquorrhoea can arise via traumatic or non-traumatic way. Non-traumatic nasal liquorrhoea with normal pressure is either of congenital origin or "idiopathic" and is frequently called spontaneous liquorrhoea. Spontaneous liquorrhoea is a rare entity making up 3-4 % of nasal liquorrhoea. CASE REPORT - The patient presented in this study was initially treated with purulent meningitis. A diagnosis of Streptococcus pneumoniae infection was established by bacterial culture tests. After being discharged, the patient was free from complaints for a considerable period of time. Her recurrent symptoms of a running nose were diagnosed later as allergic rhinitis at an ambulatory examination. A year later the patient was readmitted to hospital with bacterial meningitis. Due to the noticeable rhinorrhea on admission, the initially suspected liquorrhoea was confirmed by an otorhinolaryngological examination. A CT scan of the cranium verified external and internal pneumocephalus. Through a nuclear medicine examination a liquor fistula communicating with the sphenoidal sinus was diagnosed. After recovering from the meningitis caused by ascending bacterial infection the patient successfully underwent a neurosurgical operation for a reconstruction of the cerebral base via frontal craniotomy. CONCLUSION - With this case presentation we wish to bring attention to the rare disorder of spontaneous cerebrospinal fluid rhinorrhea when treating recurrent meningitis.

Original languageHungarian
Pages (from-to)94-98
Number of pages5
JournalLege Artis Medicinae
Volume12
Issue number2
Publication statusPublished - Jul 22 2002

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Tóth, G., Futo, L., Sashalmi, S., Kissík, I., Homonnai, A., Zsuzsanna, K., Kordás, M., & Czirják, S. (2002). Rekurráló meningitist okozó spontán liquorrhoea. Lege Artis Medicinae, 12(2), 94-98.