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Howard H. Kaufman, MD

Arch Neurol. 1969;21(1):59-65.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A PATIENT with "spontaneous" rhinorrhea presents an interesting problem in diagnosis and appropriate treatment. Ommaya et al¹ have recently offered a new classification of the disease, which they designate as "nontraumatic cerebrospinal fluid (CSF) rhinorrhea." They subdivide it into high pressure and low pressure types and further classify it as indicated in Fig 1. Because of the possibility of repeated attacks of meningitis after apparent spontaneous closure of a fistula,² they advocate aggressive surgical attack on the disease. Di Chiro et al³ have recently described the use of isotope cisternography to diagnose, and indeed, locate the site of a CSF leak, the prerequisite of surgical management.

Two cases of nontraumatic CSF rhinorrhea were recently seen at the National Hospital in which a fistula arose at a site unusual for this disease, apparently as a result of a persistent craniopharyngeal canal. Also, in both cases, the rhinorrhea stopped . . . [Full Text PDF of this Article]

Author Affiliations
London

From the Lysholm Department of Radiology, National Hospital for Nervous Diseases, Queen Square, London. Dr. Kaufman is now with the Surgical Neurology Branch, National Institute of Neurological Diseases and Stroke, National Institutes of Health, Bethesda, Md.

Footnotes
Submitted for publication Nov 14, 1968; accepted Dec 9.

Reprint requests to the Surgical Neurology Branch, National Institute of Neurological Diseases and Stroke, National Institutes of Health, Bethesda, Md 20014.

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