POST-TRAUMATIC RECURRENT CSF RHINORRHOEA

Traumatic cerebrospinal fluid(CSF) leak is seen in 2% of all the head injuries and 12-13% of cases with skull base fractures. Management of traumatic CSF leak is challenging because of multiple sites of leak, distorted anatomy and due to its high chances of recurrence. Prompt identification andmeticulous managementof these leaks is required to prevent complications. Here, we report one such interesting case of post-traumatic recurrent CSF rhinorrhea which was diagnosed after having recurrent meningitis secondary to CSF rhinorrhea. The patient was evaluated with CT-PNS and MRIcisternogram to identify the defects and surgical repair of the defects was done using multilayer technique. Immediate postoperative period was uneventful and he had no recurrence during 12 month follow-up period.