Spontaneous cerebrospinal fluid rhinorrhea in end stage renal disease Jyothsna BP, Kumar KV, Unni NV, Praveen G, Shejoy JP, Prasannan B,

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Official publication of the Indian Society of Nephrology

CASE REPORT

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Spontaneous cerebrospinal fluid rhinorrhea in end stage renal disease Balachandran P Jyothsna¹, Kunjappa Vinod Kumar¹, Narayanan V Unni¹, Gopinath Praveen², Joshua P Shejoy³, Bipi Prasannan¹ ¹ Department of Nephrology, Aster Medcity, Kochi, Kerala, India ² Department of ENT, Aster Medcity, Kochi, Kerala, India ³ Department of Neurosurgery, Aster Medcity, Kochi, Kerala, India Correspondence Address: Kunjappa Vinod Kumar, Consultant Nephrologist, Aster Medcity, Cheranalloor, Kochi - 682 027, Kerala India Source of Support: None, Conflict of Interest: None DOI: 10.4103/ijn.IJN_372_19

We report a case of spontaneous cerebrospinal fluid (CSF) rhinorrhea in a patient on maintenance hemodialysis. There was no previous history of trauma or surgery. Secondary hyperparathyroidism due to progression of chronic kidney disease (CKD) and a rise in intracranial pressure resulted in spontaneous cerebrospinal fluid rhinorrhea. He underwent endoscopic endonasal repair with theco-peritoneal shunt; CSF leak stopped completely and the patient is doing well on one year follow up.

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