Abstract
Most of cerebrospinal fluid (CSF) leakages after head trauma are presented within several days and improved by conservative management, although it often needs special procedure, such as lumbar drainage. However, sometimes surgeries are required if patients do not improve by non-surgical treatments. We have experienced one case of 20 year-old man undertaken two operations because of head trauma and nasal CSF leakage, which was presented 29 days after trauma and had not been cured by conservative management. In the operating field, we found the fistula from anterior fossa to nasal cavity. In order to seal the fistula, we used galea flap. We report this case with literature reviews.
Figures and Tables
FIGURE 1
PreOP images. AC: Multiple skull fractures, basal skull fractures and facial bone fractures were shown on 3-dimensional computed tomography (CT) reconstruction. D, E: Brain CT demonstrated forehead swelling with pneumocephalus and epidural hematoma on the bifrontal areas. F: 3 hours after trauma hemorrhagic contusion was shown on frontal base.
![jknts-5-33-g001](/upload/SynapseData/ArticleImage/1203jknts/jknts-5-33-g001.jpg)
FIGURE 2
PostOP images. A, B: After bilateral decompressive craniectomy, hemorrhagic contusion and swelling of both frontal lobes were shown on the CT.
![jknts-5-33-g002](/upload/SynapseData/ArticleImage/1203jknts/jknts-5-33-g002.jpg)
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