Case Report

Spontaneous lateral sphenoid cerebrospinal fluid fistula: MRI diagnosis

Matthew Goodier, Darlene Lubbe, Savvas Andronikou, Rene Truter
South African Journal of Radiology | Vol 16, No 1 | a224 | DOI: https://doi.org/10.4102/sajr.v16i1.224 | © 2012 Matthew Goodier, Darlene Lubbe, Savvas Andronikou, Rene Truter | This work is licensed under CC Attribution 4.0
Submitted: 24 February 2012 | Published: 07 February 2012

About the author(s)

Matthew Goodier, University of the Witwatersrand, South Africa
Darlene Lubbe, Groote Schuur Hospital, South Africa
Savvas Andronikou, University of the Witwatersrand, South Africa
Rene Truter, Schnetler,Corbett and Partners, South Africa


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Abstract

Spontaneous or primary cerebrospinal fluid (CSF) fistula is a rare cause of CSF rhinorrhoea. Magnetic resonance imaging with high resolution highly T2-weighted images is valuable in preoperative localisation and characterisation of the defect particularly if a transnasal endoscopic approach is planned. This report describes the radiological evaluation and surgical management of a 53 year old male who presented with a spontaneous lateral sphenoid CSF fistula.

Keywords

Magnetic Resonance Imaging; Cerebrospinal Fluid Fistula

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