Spontaneous Cerebrospinal Fluid Rhinorrhea in End Stage Renal Disease

Balachandran P Jyothsna; Kunjappa Vinod Kumar; Narayanan V Unni; Gopinath Praveen; Joshua P Shejoy; Bipi Prasannan

doi:10.4103/ijn.IJN_372_19

Spontaneous Cerebrospinal Fluid Rhinorrhea in End Stage Renal Disease

Indian J Nephrol. 2021 May-Jun;31(3):296-298. doi: 10.4103/ijn.IJN_372_19. Epub 2021 Mar 27.

Authors

Balachandran P Jyothsna¹, Kunjappa Vinod Kumar¹, Narayanan V Unni¹, Gopinath Praveen², Joshua P Shejoy³, Bipi Prasannan¹

Affiliations

¹ Department of Nephrology, Aster Medcity, Kochi, Kerala, India.
² Department of ENT, Aster Medcity, Kochi, Kerala, India.
³ Department of Neurosurgery, Aster Medcity, Kochi, Kerala, India.

Abstract

We report a case of spontaneous cerebrospinal fluid (CSF) rhinorrhea in a patient on maintenance hemodialysis. There was no previous history of trauma or surgery. Secondary hyperparathyroidism due to progression of chronic kidney disease (CKD) and a rise in intracranial pressure resulted in spontaneous cerebrospinal fluid rhinorrhea. He underwent endoscopic endonasal repair with theco-peritoneal shunt; CSF leak stopped completely and the patient is doing well on one year follow up.

Keywords: Cerebrospinal fluid; chronic kidney disease; hemodialysis; hyperparathyroidism.

Publication types

Case Reports