Ecchordosis physaliphora presenting with cerebrospinal fluid leak and meningitis: illustrative case
This is the first case of long-standing rhinorrhea and presentation of meningitis from a clival lesion, and it is one of the few cases of EP-related meningitis. Early recognition and workup of CSF rhinorrhea is critical to avoid progression to meningitis, and EPs are a rare cause of this presentation. https://thejns.org/doi/10.3171/CASE25540.
Authors
- Jeffrey Zuccato (ORCID: https://orcid.org/0000-0001-5418-8238)
- Edward El Rassi (ORCID: https://orcid.org/0000-0002-4658-4967)
- Kishore Balasubramanian (ORCID: https://orcid.org/0000-0002-7271-7022)
- Ian F Dunn
Institutions
- Oklahoma City University (US)
- University of Oklahoma (US)
- Texas A&M University (US)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2026-02-02
- DOI
- https://doi.org/10.3171/case25540
- Primary Topic
- Head and Neck Surgical Oncology
- Type
- article
- Field-Weighted Citation Impact
- 0.00