Is That Runny Nose Actually Brain CSF? | Rare Clival Meningocele | Endoscopic Repair скачать в хорошем качестве

Is That Runny Nose Actually Brain CSF? | Rare Clival Meningocele | Endoscopic Repair

A 52-year-old woman had two admissions for meningitis and persistent, clear drip from one nostril. Everyone called it “sinus water.” In clinic we suspected CSF rhinorrhea. MRI cisternography confirmed a clival skull-base defect (clival meningocele) as the leak site. The next day we performed an endoscopic endonasal repair with a four-layer closure: fat + fascia (inlay/overlay) + a vascularized Hadad nasoseptal flap. Nasal packs were removed on day 2–3—leak stopped. At 2-year follow-up, there’s been no recurrence and no further meningitis. What you’ll learn How CSF rhinorrhea is often mistaken for “sinus water Typical clues: unilateral, watery, positional drip; salty/metallic taste; worse on bending/straining Work-up: MRI cisternography (localizes site/pathway); consider transferrin/β-trace protein Treatment: Why vascularized, multilayer closure is the gold standardRecovery pearls & red flags for meningitis Quick tips Don’t ignore a one-sided, thin, persistent nasal drip that worsens on leaning forward. Avoid forceful nose blowing; sneeze with mouth open; minimize heavy lifting/constipation pre/post repair. Recurrent “sinus infections” + clear drip? Rule out CSF leak Case intro: 2 years of “nasal water” → 2× meningitis CSF rhinorrhea vs sinusitis: key differences Diagnosis: MRI cisternography & clival defect Plan: Endoscopic endonasal repair, multilayer closure OR steps: fat + fascia (inlay/overlay) + Hadad flap Post-op course & pack removal Two-year outcome & takeaways When to seek urgent care Dr. Raghvendra Ramdasi - Neurosurgery Medical qualifications: MBBS, MS, M Ch (Neurosurgery) FAIS (Fellow of Association of Indian Surgeons) FIMSA (Fellow of International Medical Sciences Academy) FESBS (Fellow in Endoscopic transnasal skull base surgery)(Naples, Italy) Years of experience: 14 years ___________________________________________________________ Contact Info :- +918828833911 Email : contact@brainandspinesurgeries Call to Action If these symptoms sound familiar, see a skull-base specialist promptly. Share this video so more people recognize CSF leak vs. sinusitis. SEO tags (paste at end) csf rhinorrhea, clival meningocele, clival defect, mri cisternography, endoscopic endonasal repair, hadad nasoseptal flap, multilayer skull base closure, beta-2 transferrin, csf leak symptoms, recurrent meningitis, skull base surgery, pituitary & skull base specialist #CSFLeak #SkullBase #EndoscopicSurgery #Rhinorrhea #ClivalDefect #Meningitis #MRI #Pituitary #Neurosurgery