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CEREBROSPINAL RHINORRHEA WITH CYST OF THE PITUITARY BODY: TREATMENT AND APPARENT CURE: REPORT OF A CASE

CEREBROSPINAL RHINORRHEA WITH CYST OF THE PITUITARY BODY: TREATMENT AND APPARENT CURE: REPORT OF... Abstract Cerebrospinal rhinorrhea is defined as a rare condition of traumatic, intracranial or unknown etiology in which there is a flow of cerebrospinal fluid by way of the nose. The first case on record was published in 1834 by King.1 In 1899 St. Clair Thomson2 gave the first good classification, and reported a series of cases. Loftus,3 in 1923, gave a comprehensive review of the literature with the report of a case, and Johnston,4 in 1926, covered the subject extensively. There are several etiologic factors. First comes trauma and next intracranial pathologic changes, such as tumors. Pressure necrosis due to hypophyseal tumors4 is an attributed cause, and necrosis of the ethmoid labyrinth as a result of infection has also been mentioned. Leber5 believed the condition to be due to hydrocephalus internus, and Loftus3 mentioned a defect of the craniopharyngeal canal; according to this theory, References 1. King: London M. & S. J. 4:823, 1834. 2. Thomson, St. Clair: The Cerebrospinal Fluid: Its Spontaneous Escape from the Nose , London, Cassell & Co., Ltd., 1899. 3. Loftus, J. E.: Laryngoscope 33:617 ( (Aug.) ) 1923. 4. Johnston, W. H.: Cerebrospinal Rhinorrhea , Ann. Otol., Rhin. & Laryng. 35:1205, 1926. 5. Leber, T.: A Case of Hydrocephalus with Postneuritic Atrophy of the Optic Nerves and Persistent Dropping of Watery Fluid from the Nose , Arch. f. Ophth. 29:273, 1833. 6. Wilson, J. Gordon: Personal communication to the authors. 7. Gutche: Dissertation, Erlangen, 1894 8. Zur Pathogenese der Hypophysistumoren und über den nasalen Abfluss, so wie das Verhalten des Liquor cerebrospinalis , Centralbl. f. Laryng. 11:460, 1895. 9. Learmonth, J. R.: Cerebrospinal Rhinorrhea Treated by Operation , Proc. Staff Meet., Mayo Clin. 4:115 ( (April 10) 1929. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

CEREBROSPINAL RHINORRHEA WITH CYST OF THE PITUITARY BODY: TREATMENT AND APPARENT CURE: REPORT OF A CASE

SMITH, CARROLL; WALTER, LORENZO
Archives of Otolaryngology , Volume 14 (5) – Nov 1, 1931
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Publisher
American Medical Association
Copyright
Copyright © 1931 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1931.03580020680008
Publisher site
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Abstract

Abstract Cerebrospinal rhinorrhea is defined as a rare condition of traumatic, intracranial or unknown etiology in which there is a flow of cerebrospinal fluid by way of the nose. The first case on record was published in 1834 by King.1 In 1899 St. Clair Thomson2 gave the first good classification, and reported a series of cases. Loftus,3 in 1923, gave a comprehensive review of the literature with the report of a case, and Johnston,4 in 1926, covered the subject extensively. There are several etiologic factors. First comes trauma and next intracranial pathologic changes, such as tumors. Pressure necrosis due to hypophyseal tumors4 is an attributed cause, and necrosis of the ethmoid labyrinth as a result of infection has also been mentioned. Leber5 believed the condition to be due to hydrocephalus internus, and Loftus3 mentioned a defect of the craniopharyngeal canal; according to this theory, References 1. King: London M. & S. J. 4:823, 1834. 2. Thomson, St. Clair: The Cerebrospinal Fluid: Its Spontaneous Escape from the Nose , London, Cassell & Co., Ltd., 1899. 3. Loftus, J. E.: Laryngoscope 33:617 ( (Aug.) ) 1923. 4. Johnston, W. H.: Cerebrospinal Rhinorrhea , Ann. Otol., Rhin. & Laryng. 35:1205, 1926. 5. Leber, T.: A Case of Hydrocephalus with Postneuritic Atrophy of the Optic Nerves and Persistent Dropping of Watery Fluid from the Nose , Arch. f. Ophth. 29:273, 1833. 6. Wilson, J. Gordon: Personal communication to the authors. 7. Gutche: Dissertation, Erlangen, 1894 8. Zur Pathogenese der Hypophysistumoren und über den nasalen Abfluss, so wie das Verhalten des Liquor cerebrospinalis , Centralbl. f. Laryng. 11:460, 1895. 9. Learmonth, J. R.: Cerebrospinal Rhinorrhea Treated by Operation , Proc. Staff Meet., Mayo Clin. 4:115 ( (April 10) 1929.

Journal

Archives of Otolaryngology – American Medical Association

Published: Nov 1, 1931

References

  • The Cerebrospinal Fluid: Its Spontaneous Escape from the Nose
    Thomson , St. Clair
  • Cerebrospinal Rhinorrhea
    Johnston , W. H.
  • A Case of Hydrocephalus with Postneuritic Atrophy of the Optic Nerves and Persistent Dropping of Watery Fluid from the Nose
    Leber , T.
  • Zur Pathogenese der Hypophysistumoren und über den nasalen Abfluss, so wie das Verhalten des Liquor cerebrospinalis
  • Cerebrospinal Rhinorrhea Treated by Operation
    Learmonth , J. R.