# Spontaneous Cerebrospinal Fluid Rhinorrhea With Meningoencephalocele Recurrence After Placement of a Lumboperitoneal Shunt: A Case Report

## TL;DR

A woman experienced recurring cerebrospinal fluid leakage after surgery and shunt placement, highlighting the need for careful use of such devices.

## Contribution

This case report highlights the recurrence of meningoencephalocele after lumboperitoneal shunt placement.

## Key findings

- Cerebrospinal fluid leakage recurred after surgical repair and shunt placement.
- Lumbar drainage controls pressure but does not address bone defects.
- Careful consideration is needed when using shunts for such conditions.

## Abstract

Cerebrospinal fluid rhinorrhea associated with meningoencephalocele is usually treated surgically. During the perioperative period, cerebrospinal fluid diversion may be employed to control intracranial pressure, but there are few indications for this method. A 51-year-old female presented with cerebrospinal fluid rhinorrhea associated with meningoencephalocele and underwent surgical repair followed by the placement of a lumboperitoneal shunt. However, cerebrospinal fluid leakage recurred, requiring a second surgery. Lumbar drainage effectively controls intracranial pressure, but it does not cure bone defects. The use of these devices should be carefully considered based on the patient's condition.