Cerebrospinal Fluid Rhinorrhea with Encephalocele Post Septoplasty

Law Mei Fang, Irfan Mohamad, Thevagi Maruthamuthu, Chenthilnathan Periasamy, Zahirrudin Zakaria


Septoplasty is a common surgical operation done for patients with deviated septum. Cerebrospinal fluid (CSF) leak post septoplasty is one of the rare complications and delayed diagnosis can lead to herniation of brain substance through the skull base defect and lead to encephalocele. We reported a case of CSF rhinorrhoea with encephalocele complicating septoplasty which was repaired surgically. We discuss the clinical importance of anatomical variations and causative mechanisms of CSF rhinorrhoea, and the diagnosis and management of the case. Early diagnosis and management of the CSF leak with encephalocele post-septoplasty are important to prevent life threatening events and for better outcome


Cerebrospinal fluid leak; Encephalocele; Septoplasty; Complication; Repair

Full Text:



Youssef A, Ahmed S, Ibrahim AA, Daniel M, Abdelfattah HM, Morsi H. Traumatic cerebrospinal fluid leakage following septorhinoplasty. Archives of Plastic Surgery. 2018 ;45(4):379–83.

Bloom JD, Kaplan SE, Bleier BS, Goldstein SA. Septoplasty Complications: Avoidance and Management. Otolaryngologic Clinics of North America. 2009 ;42(3):463–81.

Abuabara A. Cerebrospinal fluid rhinorrhoea: diagnosis and management. Med Oral Patol Oral Cir Bucal. 2007;12(5):397-400.

Aslier M, Kasapoglu F. Diagnosis Algorithm in Single-Sided Nasal Masses. European Journal of Rhinology and Allergy. 2019;2(3):82–5.

Nesrin Gürsan, Mehmet Dumlu Aydin. Intranasal encephalocele: A case report. Turkish Journal of Medical Sciences. 2003;33:191–4.

Leong AC, Patel TR, Rehman F, Oyarzabal M, Gluckman P. Cerebrospinal fluid rhinorrhea complicating septoplasty: A novel mechanism of injury. Sage Journal. 2010;89(1):27–9.

Imre A, Pinar E, Ahmet Ata Ece. Ethmoidal meningoencephalocele and cerebrospinal fluid leak after septoplasty: a rare complication. ENT Updates. 2017;7(2):108–11.

Thibaut Van Zele, Dewaele F. Traumatic CSF leaks of the anterior skull base. B-ENT. 2016;26(2):19–27.

Le C, Strong EB, Luu Q. Management of anterior skull base cerebrospinal fluid leaks. J Neurol Surg B Skull Base. 2016;77(5):404–11.

Ruggeri CS, Aragón GS, Acosta L, Figueroa E. Endoscopic management of intranasal meningoceles and meningoencephaloceles. Journal of Otolaryngology-ENT Research. 2019;11(3):175–9.

Copyright (c) 2024 Journal of Biomedical and Clinical Sciences (JBCS)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.


Flag Counter           


                                              Copyright © 2016 AMDI Publisher, Universiti Sains Malaysia.
Disclaimer : This website has been updated to the best of our knowledge to be accurate. However, Universiti Sains Malaysia shall not be liable for any loss or damage caused by the usage of any information obtained from this web site.
                                            Best viewed: Mozilla Firefox 4.0 & Google Chrome at 1024 × 768 resolution.