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颅底外科手术引起脑脊液(CSF)鼻漏的发生率高达30％。报告11例假性CSF鼻漏综合征,它发生在颅底手术后,通常累及切除或分离颞骨岩部、海绵窦的颈 动脉、岩浅大神经和颈动脉周围的交感神经丛。本综合症特点是鼻塞和鼻清亮分泌物过多,同时伴有面部发红,用力或室温升高时症状加重,患侧流泪减少或缺乏。病理生理学对鼻分泌过多的解释是:在颅底手术过程中,与手术损伤了鼻腔的交感神经而产生的拟副交感神经状态有关。
Skull base surgery causes the incidence of cerebrospinal fluid (CSF) rhinorrhea as high as 30%. Reported 11 cases of pseudo-CSF rhinorrhea syndrome, which occurred after skull base surgery, usually involving resection or separation of the petrous bone, the carotid artery of the cavernous sinus, the petrous nerves, and the sympathetic plexus around the carotid artery. The syndrome is characterized by nasal congestion and nasal discharge too much light, accompanied by facial redness, forced or elevated symptoms at room temperature, ipsilateral tear reduction or lack of. Pathophysiology of nasal secretion is explained by excessive: in the process of skull base surgery, surgery and damage to the nasal sympathetic nerves produced by the parasympathetic state.