Observation of successful treatment of penetrating traumatic brain injury followed by nasal liquorrhea for 61 years

Authors

  • Lyudmila Dzyak Dnepropetrovsk State Medical Academy, Dnepropetrovsk, Ukraine
  • Andriy Sirko Dnеpropetrovsk State Medical Academy, Dnepropetrovsk; Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk, Ukraine https://orcid.org/0000-0001-6536-2035
  • Ihor Kirpa Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk, Ukraine
  • E. Sapronova Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk, Ukraine
  • Ekaterina Mizyakina Dnepropetrovsk State Medical Academy, Dnepropetrovsk; Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk, Ukraine

DOI:

https://doi.org/10.25305/unj.59052

Keywords:

penetrating traumatic brain injury, nasal liquorrhea, CT-cisternography, meningocele

Abstract

An observation of penetrating traumatic brain injury, made by awl in childhood, followed by remittent nasal liquorrhea and purulent meningoencephalitis for 61 years, is given.

For diagnosis clarifying biochemical study of nasal secretion, rhinologic study, MRI and CT-cisternography of the brain were performed. Liquor fistula was closed in two stages, ethmoid bone meningocele, causing obturation of left half of the nose, was removed.

On the first stage, using transnasal approach, ethmoid bone meningocele was removed, on the next stage liquor fistula was discharged, using transcranial intradural approach. Anterior cranial fossa base defect was closed with temporal muscle fragment and fixed with fibrin-thrombin glue.

Author Biographies

Lyudmila Dzyak, Dnepropetrovsk State Medical Academy, Dnepropetrovsk

Department of Nervous Diseases and Neurosurgery

Andriy Sirko, Dnеpropetrovsk State Medical Academy, Dnepropetrovsk; Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk

Department of Nervous Diseases and Neurosurgery; 2nd Department of Cerebral Neurosurgery

Ihor Kirpa, Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk

2nd Department of Cerebral Neurosurgery

E. Sapronova, Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk

Department of Otolaryngology

Ekaterina Mizyakina, Dnepropetrovsk State Medical Academy, Dnepropetrovsk; Mechnikov Dnepropetrovsk Regional Clinical Hospital, Dnepropetrovsk

Department of Nervous Diseases and Neurosurgery; 2nd Department of Cerebral Neurosurgery

References

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Published

2012-06-26

How to Cite

Dzyak, L., Sirko, A., Kirpa, I., Sapronova, E., & Mizyakina, E. (2012). Observation of successful treatment of penetrating traumatic brain injury followed by nasal liquorrhea for 61 years. Ukrainian Neurosurgical Journal, (2), 67–71. https://doi.org/10.25305/unj.59052

Issue

No. 2 (2012)

Section

Case Report

License

Copyright (c) 2012 Lyudmila Dzyak, Andriy Sirko, Ihor Kirpa, E. Sapronova, Ekaterina Mizyakina

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