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Case Studies | Otorhinolaryngology | India | Volume 12 Issue 9, September 2023 | Popularity: 5.2 / 10

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A Dilemma to Observe or Operate a Traumatic Cerebrospinal Fluid Leak: A Case Report

Divyanshi Singh, Iqbal Singh

Abstract: A Cerebrospinal fluid (CSF) leak can be spontaneous or secondary to trauma, surgery, tumours and other disorders. It can lead to many complications like meningitis which can be fatal or can leave patient with neurological deficits. Here, we report a case of a 26 year old patient who presented with watery ear discharge and decreased hearing from left ear which was preceded by a road side traffic accident. A thorough clinical history was obtained and clinical examination was done which suggested the possibility of ear discharge to be CSF. Biochemical analysis proved the fliud to be CSF. On radiological investigation, no defect was found so the patient was managed conservatively using intravenous antibiotics, nasal and oral decongestants and precautions to refrain from straining. Patient was followed up till 10 months and reported no symptoms and signs of complications. Patient?s ear discharge was relieved at 3rd day of treatment and hearing was improved at monthly follow-up and had a good prognosis with no complications.

Keywords: Traumatic, meningitis, CSF leak, ENT disease

Edition: Volume 12 Issue 9, September 2023

Pages: 2159 - 2160

DOI: https://www.doi.org/10.21275/SR23929012209

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