Delayed traumatic skull base fracture with cerebrospinal fluid rhinorrhea in 1 case of misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 6 Delayed traumatic skull base fracture with cerebrospinal fluid rhinorrhea in 1 case of misdiagnosis Of: Zhangrun Jun, Chen Kuang Rong, Chen Gang, on behalf of the ultra- [Keywords:] injuries, skull fractures, misdiagnosis A case report Male patient, 20 years old, a unit of soldiers in southern Yunnan Department, for 2 months after head trauma, headache, dizziness 1, more than a month, water-like nose with bilateral nasal flow admission .2 4 days ago in the face and head while playing basketball left eye was injured, immediately unconscious, his left eye and nasal bleeding (amount unknown, about 5 minutes after the alert, wake up after being left eye pain, no nausea, vomiting, secondary coma, convulsions and incontinence and other limbs. at the local hospital diagnosis of “left cornea injury”, given anti-inflammatory cefazolin sodium, bFGF eye drops and other treatment, stable condition and discharged. But a few days after discharge appears head and neck pain, dizziness and lower limbs with weakness, not by head CT, the medical team to give “cefoperazone sodium, mannitol” and other anti-inflammatory drugs to reduce intracranial pressure and other treatment, these symptoms have eased .2 weeks later, there was no incentive for bilateral nasal flow of water like a runny nose, Daily about 100 ~ 150ml, with a slight dizziness, headache, cranial CT examination revealed the line: “fracture of the anterior cranial fossa with intracranial wide range of product gas,” consider “cerebrospinal fluid”, for further diagnosis and treatment of disease, then transferred into my Home. past history is no special. admission examination: body temperature: 36.3 ℃, pulse: 92 beats / min, respiratory: 20 times / min, blood pressure: 115/65mmHg, conscious, ranging from large bilateral pupil, left 4 .0 mm, right 3.0mm, no shallow bilateral nasolabial fold, no abnormal secretion of bilateral external auditory canal, bilateral nasal ventilation well, no