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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2025; 13(20): 102279
Published online Jul 16, 2025. doi: 10.12998/wjcc.v13.i20.102279
Published online Jul 16, 2025. doi: 10.12998/wjcc.v13.i20.102279
Exploratory operation in a patient with spontaneous temporal bone cerebrospinal fluid leaks: A case report
Yuan-Song He, The First Clinical Medical College, Guangdong Medical University, Zhanjiang 524000, Guangdong Province, China
Yong Zheng, Department of Neurosurgery, The People’s Hospital of Bao’an Shenzheng, Shenzhen 518000, Guangdong Province, China
Author contributions: He YS contributed to manuscript writing, editing, and data collection; Zheng Y contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong Zheng, MD, Chief Physician, Professor, Department of Neurosurgery, The People’s Hospital of Bao’an Shenzheng, No. 118 Longjing 2nd Road, Xin'an Street, Bao'an District, Shenzhen 518000, Guangdong Province, China. xjzy3682@126.com
Received: October 13, 2024
Revised: February 21, 2025
Accepted: March 8, 2025
Published online: July 16, 2025
Processing time: 177 Days and 16.1 Hours
Revised: February 21, 2025
Accepted: March 8, 2025
Published online: July 16, 2025
Processing time: 177 Days and 16.1 Hours
Core Tip
Core Tip: This case report details a 58-year-old male patient diagnosed with temporal bone cerebrospinal fluid leaks. The complexity of the case stemmed from the atypical configuration of the defect at the leakage site, compounded by difficulties in preoperative differential diagnosis due to the presence of an empty sella and a defect in the petrous bone identified on computed tomography and magnetic resonance imaging. Following extensive discussions, the patient underwent an exploratory procedure, successfully repairing the dura mater defect. The efficacy of mucosal repair under endoscopic guidance was highlighted as a promising approach in such clinical scenarios.