Cerebrospinal Fluid Rhinorrhea as the First Symptom of Metastatic Prostate Adenocarcinoma

被引:2
作者
Ostrowska, Magdalena [1 ]
Wrobel, Maciej J. [2 ]
机构
[1] Nicolaus Copernicus Univ Torun, Ludwik Rydygier Coll Med Bydgoszcz, Ul Jagiellonska 13-15, PL-85067 Bydgoszcz, Poland
[2] Nicolaus Copernicus Univ Torun, Ludwik Rydygier Coll Med Bydgoszcz, Dept Otolaryngol & Laryngol Oncol, Bydgoszcz, Poland
关键词
rhinorrhea; CSF leaks; prostate neoplasm; metastases; sphenoid sinus;
D O I
10.1177/01455613211016710
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The most common cause of cerebrospinal fluid (CSF) rhinorrhoea is damage to the skull base with a dura mater's rupture due to an accident or an iatrogenic injury. This applies to over 96% of cases. Other possibilities that can lead to CSF leakage are neoplasms of the nasal cavity, paranasal sinuses, and nasopharynx. Although prostate cancer spreads to bones, cranial metastases to paranasal sinuses are extremely rare. We present a case of an 83-year-old patient with CSF leakage due to infiltrating metastatic prostate cancer. Cerebrospinal fluid rhinorrhea turned out to be the first symptom of prostate cancer metastasis. Diagnostic and treatment strategies are presented in the discussion.
引用
收藏
页码:NP466 / NP469
页数:4
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