Images: Unilateral rhinorrhea in a patient starting autotitrating positive airway pressure therapy for obstructive sleep apnea

Authors

Omar Khan, Henry Ford HealthFollow
John R. Craig, Henry Ford HealthFollow
Jarida Begum, Henry Ford HealthFollow
Virginia Skiba, Henry Ford HealthFollow

Recommended Citation

Khan O, Craig JR, Begum J, and Skiba V. Images: Unilateral rhinorrhea in a patient starting autotitrating positive airway pressure therapy for obstructive sleep apnea. J Clin Sleep Med 2021.

Document Type

Article

Publication Date

6-22-2021

Publication Title

J Clin Sleep Med

Abstract

We report a case of a 65-year-old obese female who developed a unilateral nasal cerebrospinal fluid (CSF) leak after starting autotitrating positive airway pressure therapy for obstructive sleep apnea. The CSF leak was confirmed by beta-2 transferrin testing of the nasal fluid, as well as by identification of the leak through the anterior cribriform plate after administration of intrathecal fluorescein. The CSF leak was successfully repaired endoscopically, and autotitrating positive airway pressure was reinitiated one month postoperatively.

Medical Subject Headings

Aged; Continuous Positive Airway Pressure; Female; Humans; Nose; Rhinorrhea; Sleep Apnea; Obstructive/therapy; cerebrospinal fluid leak; obstructive sleep apnea

PubMed ID

34170244

ePublication

ePub ahead of print

Volume

17

Issue

11

First Page

2345

Last Page

2347