Repair of Cerebrospinal Fluid Rhinorrhea in a Patient Presenting Empty Sella Syndrome: Case Report and Review of Literature
Published: 2022-04-30
Page: 25-29
Issue: 2022 - Volume 5 [Issue 1]
Omar Berrada *
Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Youssef Oukessou
Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Yassir Hammouda
Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Sami Rouadi
Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Redalah Larbi Abada
Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Mohamed Roubal
Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Mohamed Mahtar
Department of ENT Head and Neck Surgery, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Introduction: The cause of Empty Sella syndrome is unknown, however it occurs when intracranial contents herniate through the sellar diaphragm, filling the sella turcica with cerebrospinal fluid (CSF) and giving the appearance of an absent pituitary gland on radiography.
Case Presentation: Author presents a rare case of a 67 years-old woman who was admitted into our department with a complaint of dripping clear fluid from the left side of her nose. Clinical examination and biological, radiological investigations found a CSF leakage through a minute bony defect in the floor of the sella associated with empty Stella syndrome. Treatment consisted of the reparation of the leak using a fascia lata graft, and the sphenoidal sinus was obliterated with fat.
Conclusion: When evaluating patients with non-traumatic CSF rhinorrhea, the otolaryngologist must consider empty sella syndrome as a diagnostic possibility.
Keywords: Empty sella syndrome, cerebrospinal fluid leakage, endonasal endoscopic approach