Abstract
Spontaneous discharge of cerebrospinal fluid through the nose without traumatic cause has been reported frequently. 1 An altogether different group comprises those cases of persistent flow of cerebrospinal fluid following fractures or operative procedures on the skull. In view of the frequency of fractures of the base of the skull and of the common textbook formula that cerebrospinal fluid may escape through such fractures, it seems remarkable that its occurrence is mentioned so infrequently in the copious literature on this subject describing specific cases. No doubt in many cases of fracture with a discharge of cerebrospinal fluid, the blood or secretions concealed it until death, or healing of the dural opening occurred promptly. Rawling, 2 in his Hunterian lecture on basal fractures of the skull, stated that in his cases 70 per cent of these fractures involved the sphenoidal sinus, and in many of these a probe could be passed
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