CT sinus without contrast axial cut showing the air-fluid level in the sphenoid sinus and defect in the clivus (see arrow).

CT sinus without contrast axial cut showing the air-fluid level in the sphenoid sinus and defect in the clivus (see arrow).

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Spontaneous cerebrospinal fluid (CSF) rhinorrhea develops in patients without any history of trauma. Multiple factors have been theoretically debated. Also, localizing the defect may result in a challenge for the rhinologist. The common locations are the cribriform plate and the lateral recess of the sphenoid. Clival CSF rhinorrhea is rare, and onl...

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Over the past decade, endoscopic sinus surgery has become one of the most frequently performed operations in otolaryngology. Several intracranial, orbital and intranasal complications have been described. Major complications include cerebrospinal rhinorrhea, cribriform plate injuries, frontal lobe injuries and blindness. These are extremely rare an...