Abstract
An observation of penetrating traumatic brain injury, made by awl in childhood, followed by remittent nasal liquorrhea and purulent meningoencephalitis for 61 years, is given.For diagnosis clarifying biochemical study of nasal secretion, rhinologic study, MRI and CT-cisternography of the brain were performed. Liquor fistula was closed in two stages, ethmoid bone meningocele, causing obturation of left half of the nose, was removed.On the first stage, using transnasal approach, ethmoid bone meningocele was removed, on the next stage liquor fistula was discharged, using transcranial intradural approach. Anterior cranial fossa base defect was closed with temporal muscle fragment and fixed with fibrin-thrombin glue.
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