Tension pneumoventricle and cerebrospinal fluid rhinorrhea

A 46-year-old male, who experienced left frontal skull open fracture with intracerebral hemorrhage and received conservative treatment 5 months previously, presented with headache, walking difficulty and left-sided clear watery rhinorrhea for 2 days. Physical examination showed decreased cognitive function and gait ataxia. The rhinorrhea was aggravated especially when leaning forward. Skull Water’s views showed notable air-filled lateral ventricles (Figure 1a). Subsequent head computed tomography (Figure 1b) showed marked air in the …