Medically Induced Rhinorrhea in A Case of a Bimorphous Adenoma

Abstract

Cerebrospinal fluid (CSF) rhinorrhea is a clinical condition reported in several situations as head trauma, obesity, or as a complication of endonasal surgery. Medical therapy by Bromocriptine and recently Cabergoline is highly efficient for prolactinoma in both size and prolactin level control. We describe a case of an invasive bimorphous adenoma in a young male treated medically who presented intermittent rhinorrhea for several weeks that became persistent. Imaging modalities (MRI and CT) showed a liquid filling of the sphenoid sinus and a bony erosion of the sellar floor. surgical management consisted of a vascularized flap that sealed efficiently the defect.

Keywords: Prolactinoma, cabergoline, rhinorrhea.