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[The interesting case--case no. 59].

A Borrmann·M K Steuer-Vogt·A M Frank
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Abstract

UNLABELLED: Complications after endoscopic sinus surgery are rare and occur in about 0.5 % of all cases. However postoperative symptoms such as severe cephalgia and nasal discharge of clear fluids indicate a cerebrospinal fluid leakage. CASE: A 64 year-old-patient presented to our clinic four months after an endoscopic sinus surgery complaining of the two above mentioned symptoms for about 4 weeks. In a computed tomography study of the frontobasis there was no evidence of an osseous defect. An MRI of the head revealed a bilateral temporal fluid collection as seen in bilateral chronic subdural hematoma. Therefore the present illness was no consequence of the preceding surgery. CONCLUSION: Significant symptoms of severe postoperative complications after endoscopic sinus surgery can still be misleading. Therefore accurate diagnostic and imaging procedures are always crucial to support the initial diagnosis.

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Cerebrospinal Fluid RhinorrheaDiagnosis, DifferentialEndoscopyHeadacheHematoma, Subdural, ChronicHumansMaleMaxillary SinusitisMiddle AgedPostoperative ComplicationsRecurrenceReoperationSphenoid SinusitisTrephiningCase ReportsEnglish AbstractJournal Article

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A Borrmann, M K Steuer-Vogt, A M Frank. 2004. [The interesting case--case no. 59].. https://doi.org/10.1055/s-2004-814392

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