CSF fluid (brain fluid) coming out from left nostrill (sphenoid sinus defect) in 45 yr old fatty female.
Defect identified after exposure of sphenoid sinus and meningocoel was found.It was cauterised and bony defect identified. 7 layered sealing done of defect and at the end of procedure leak was stopped.
Patient was discharged after 4 days and now she is doing well .
