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Clinical Note
Jan 2012

Spontaneous Cerebrospinal Fluid Rhinorrhea of the Foramen Cecum in Adulthood

Author Affiliations

Author Affiliations: Departments of Otolaryngology–Head and Neck Surgery (Drs Gaffey, Friedel, and Eloy) and Neurological Surgery (Dr Liu), University of Medicine and Dentistry of New Jersey–New Jersey Medical School, and Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey (Drs Liu and Eloy), Newark; and Department of Radiology, New York University School of Medicine, New York, New York (Dr Fatterpekar).

Arch Otolaryngol Head Neck Surg. 2012;138(1):79-82. doi:10.1001/archoto.2011.217

Spontaneous cerebrospinal (CSF) rhinorrhea is a well-known entity, representing approximately 5% of all CSF leaks. These leaks usually originate from the lamina lateralis, lamina cribrosa, fovea ethmoidalis, and lateral sphenoid recess. We discuss a highly unusual case of spontaneous CSF rhinorrhea emanating from a foramen cecum defect in the posterior frontal sinus table; describe the presentation, imaging findings, and surgical repair; and provide a possible explanation for its origin. A review of the literature revealed no previous similar case.