Delayed Presentation of Post-Traumatic Porencephalic Cyst with CSF Rhinorrhoea

  • Anupam Ghimire Patan Academy of Health Science, Lalitpur, Nepal http://orcid.org/0000-0003-1372-4529
  • Gentle Sunder Shrestha Institute ff Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Keywords: CSF rinorrhoea, porencephalic cyst, trauma

Abstract

Porencephalic cyst is a fluid filled intracranial lesion, which is usually congenital, but may develop following trauma. CSF rhinorrhoea occurs mostly following trauma and some can present years later, with resulting morbidity and the need for further management . We report an unusual case of post traumatic  CSF rhinorrhoea four years after history of trauma. Initial CT scan following trauma was normal and was managed conservatively. Subsequently, patient presented with CSF rhinorrhoea after four years. CT scan showed porencephalic cyst of frontal lobe. CSF leak was managed conservatively and was advised for further neurosurgical intervention. Late onset CSF leak seems to be rare, but important complication of traumatic brain injury.

Downloads

Download data is not yet available.
Abstract
231
PDF
224

Author Biographies

Anupam Ghimire, Patan Academy of Health Science, Lalitpur, Nepal

Resident, General Practice and Emergency Medicine

Gentle Sunder Shrestha, Institute ff Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Department of Anaesthesiology

Published
2019-06-20
How to Cite
Ghimire, A., & Shrestha, G. (2019). Delayed Presentation of Post-Traumatic Porencephalic Cyst with CSF Rhinorrhoea. Nepalese Medical Journal, 2(1), 194-195. https://doi.org/10.3126/nmj.v2i1.24114
Section
Case Reports