An interesting rare case of CSF leak after valsalva maneuver (heavy metal pot lifting)!
A 38 years old woman complaining of 5 months persistent headache after lifting a heavy metal pot was referred to our ORL-HNS clinic. The headache was aggravated by being upright (standing or seated) and subsided by lying. There was no symptoms or signs of intermittent CSF rhinorrhea. On PNS CT there was a bony defect in the right lateral lamella (red arrow) and T2 MRI shows retention of secretions in the right posterior ethmoidal cells and right sphenoid sinus (yellow arrow).
CSF: cerebrospinal fluid
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Thanks to Dr. Ehsan Arjmandzadeh ( resident of otorhinolaryngology head and neck surgery at Tehran) to share this case whit us .
