Rhinitis as the Presenting Symptom of Pineal Region Epidermoid Tumor: A Case Report
Abstract
Brain tumors are the rarest cause of cerebrospinal fluid rhinorrhea. Non-traumatic cerebrospinal fluid rhinorrhea is also a relatively rare condition. It may be misdiagnosed as allergic rhinitis or chronic sinusitis and lead to unsuitable treatment. We described a 34-year-old man who came to our allergy clinic with a chief complaint of clear rhinorrhea from his left nostril with more than four years of duration. Onlyhypertrophy of left inferior concha was found in the clinical examination. His rhinorrhea aggravated when bending forward. So we were suspicious of CSF rhinorrhea. MRI was done for him and demonstrated a large tumor in the pineal region. The patient underwent surgery with resection of the mass via an infratentorial-supracerebellar approach. This case showed the role of maintaining differential diagnosis for a common complaint; rhinitis which is seen as usual.
2. Telera S, Conte A, Cristalli G, Occhipinti E, Pompili A. Spontaneous cerebrospinal fluid rhinorrhea as the presenting symptom of sellar pathologies: three demonstrative cases. Neurosurg Rev. 2007;30(1):78-82.
3. Al-Sebeih K, Karagiozov K, Elbeltagi A, Al-Qattan F. Non-traumatic cerebrospinal fluid rhinorrhea: diagnosis and management. Ann Saudi Med. 2004;24(6):453-8.
4. Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. 2008;122(2):S1-S84.
5. Nozad CH, Michael LM, Lew DB, Michael CF. Non-allergic rhinitis: a case report and review. Clin Mol Allergy. 2010;8(1):1.
6. Bhayani R, Bafna P, Goel A. Cerebrospinal fluid rhinorrhoea: unusual presentation of acoustic neurinoma. Br J Neurosurg. 1993;7(6):705-7.
7. Hassani FD, Bouchaouch A, El Fatemi N, Gana R, El Abbadi N, Maaqili MR. Pineal epidermoid cyst: case report and review of the literature. Pan Afr Med J. 2014;18(1):259.
8. Desai KI, Nadkarni TD, Fattepurkar SC, Goel AH. Pineal epidermoid cysts: a study of 24 cases. Surg Neurol. 2006;65(2):124-9.
9. Kountakis SE. Encyclopedia of otolaryngology, head and neck surgery: Springer; 2013.
10. Abuabara A. Cerebrospinal fluid rhinorrhoea: diagnosis and management. Med. oral patol. oral cir.bucal (Internet). 2007;12(5):397-400.
11. Prosser JD, Vender JR, Solares CA. Traumatic cerebrospinal fluid leaks. Otolaryng Clin N Am. 2011;44(4):857-73.
12. Mantur M, Łukaszewicz-Zając M, Mroczko B, Kułakowska A, Ganslandt O, Kemona H, et al. Cerebrospinal fluid leakage-Reliable diagnostic methods. Clin Chim Acta. 2011;412(11):837-40.
13. Bernal-Sprekelsen M, Alobid I, Mullol J, Trobat F, Tomás-Barberán M. Closure of cerebrospinal fluid leaks prevents ascending bacterial meningitis. Rhinol. 2005;43(4):277.
14. Mathias T, Levy J, Fatakia A, McCoul ED. Contemporary Approach to the Diagnosis and Management of Cerebrospinal Fluid Rhinorrhea. Ochsner J. 2016;16(2):136-42.
Files | ||
Issue | Vol 19 No 4 (2020) | |
Section | Case Report(s) | |
DOI | https://doi.org/10.18502/ijaai.v19i4.4121 | |
PMID | 33463112 | |
Keywords | ||
Brain tumor Cerebrospinal fluid Rhinitis Rhinorrhea |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |