Spontaneous cerebrospinal fluid rhinorrhea with pneumocephalus
Diagnosis almost certain
Presentation
Watery nasal discharge
Patient Data
Age: 50 years
Gender: Female
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Extensive pneumocephalus.
Fluid in the right maxillary sinus, left frontal sinus, left anterior ethmoidal air cells and along the cribriform plate.
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T2 weighted coronal acquisitions show fluid tracking along the left of cribriform plate on prone position. There are extensive hypointense signals in subarachnoid spaces corresponding to pneumocephalus.
Case Discussion
Spontaneous CSF rhinorrhea associated with extensive pneumocephalus.
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