By 121 News
Panchkula, May 28, 2026:-Paras Health Panchkula has successfully treated a 56-year-old man suffering from a rare recurrent cerebrospinal fluid (CSF) leak using a minimally invasive transnasal endoscopic surgical approach. The complex procedure helped prevent the risk of severe brain infection and ensured faster recovery without any external cuts.
The patient had been experiencing clear watery discharge from his right nostril for the past 3–4 months, which worsened whenever he bent forward — a common but often overlooked symptom of CSF rhinorrhoea, a condition where the protective brain fluid leaks through the nose due to a defect in the skull base.
Notably, the patient had previously undergone surgery nearly 8–9 months ago for a similar leak near the front part of the skull, which had healed successfully. However, further investigations revealed that increased pressure inside the skull had caused another weak area to develop a leak.
Advanced imaging investigations, including HRCT PNS and MRI Brain with MR Cisternography, identified a small defect in the lateral wall of the sphenoid sinus — a deep sinus located behind the nose — along with protrusion of the brain lining through the opening.
The team of specialists at Paras Health Panchkula performed a transnasal endoscopic repair, a highly advanced minimally invasive technique carried out entirely through the nasal passages. During the procedure, surgeons carefully accessed the deep-seated defect, repositioned the leaking tissue, and repaired the opening using the patient’s own tissue along with specialized graft material to strengthen healing.
Following the surgery, the patient was monitored with a temporary lumbar drain for 72 hours to reduce pressure on the repaired site. He recovered well without any further leakage or complications.
Commenting on the case, Dr. Gaurav Sharma – Neurosurgery said that cerebrospinal fluid leaks are serious conditions that should never be ignored, as they can increase the risk of life-threatening brain infections like meningitis. In this patient’s case, the challenge was the recurrence of the leak at a different location due to raised intracranial pressure. Using advanced transnasal endoscopic techniques, we were able to safely access the defect through the nose, repair the leak precisely, and help the patient recover without the need for any external incision. Early diagnosis and timely treatment play a crucial role in preventing complications.
Adding further, Dr. Pankaj Mittal said that this successful case reflects the advanced clinical expertise and multidisciplinary approach available at Paras Health Panchkula. With modern minimally invasive technologies and experienced specialists, we are able to manage highly complex neurosurgical and ENT conditions with excellent patient outcomes. Our focus remains on delivering advanced healthcare solutions closer to patients in the region.
Doctors further highlighted that recurrent CSF leaks may occur in different parts of the skull base if the underlying issue of raised intracranial pressure is not addressed. Long-term management therefore also focuses on controlling brain pressure to prevent recurrence.
This successful case underscores the growing expertise in advanced minimally invasive neurosurgical and ENT procedures available at Paras Health Panchkula, enabling patients to access highly specialized care closer to home.
The patient had been experiencing clear watery discharge from his right nostril for the past 3–4 months, which worsened whenever he bent forward — a common but often overlooked symptom of CSF rhinorrhoea, a condition where the protective brain fluid leaks through the nose due to a defect in the skull base.
Notably, the patient had previously undergone surgery nearly 8–9 months ago for a similar leak near the front part of the skull, which had healed successfully. However, further investigations revealed that increased pressure inside the skull had caused another weak area to develop a leak.
Advanced imaging investigations, including HRCT PNS and MRI Brain with MR Cisternography, identified a small defect in the lateral wall of the sphenoid sinus — a deep sinus located behind the nose — along with protrusion of the brain lining through the opening.
The team of specialists at Paras Health Panchkula performed a transnasal endoscopic repair, a highly advanced minimally invasive technique carried out entirely through the nasal passages. During the procedure, surgeons carefully accessed the deep-seated defect, repositioned the leaking tissue, and repaired the opening using the patient’s own tissue along with specialized graft material to strengthen healing.
Following the surgery, the patient was monitored with a temporary lumbar drain for 72 hours to reduce pressure on the repaired site. He recovered well without any further leakage or complications.
Commenting on the case, Dr. Gaurav Sharma – Neurosurgery said that cerebrospinal fluid leaks are serious conditions that should never be ignored, as they can increase the risk of life-threatening brain infections like meningitis. In this patient’s case, the challenge was the recurrence of the leak at a different location due to raised intracranial pressure. Using advanced transnasal endoscopic techniques, we were able to safely access the defect through the nose, repair the leak precisely, and help the patient recover without the need for any external incision. Early diagnosis and timely treatment play a crucial role in preventing complications.
Adding further, Dr. Pankaj Mittal said that this successful case reflects the advanced clinical expertise and multidisciplinary approach available at Paras Health Panchkula. With modern minimally invasive technologies and experienced specialists, we are able to manage highly complex neurosurgical and ENT conditions with excellent patient outcomes. Our focus remains on delivering advanced healthcare solutions closer to patients in the region.
Doctors further highlighted that recurrent CSF leaks may occur in different parts of the skull base if the underlying issue of raised intracranial pressure is not addressed. Long-term management therefore also focuses on controlling brain pressure to prevent recurrence.
This successful case underscores the growing expertise in advanced minimally invasive neurosurgical and ENT procedures available at Paras Health Panchkula, enabling patients to access highly specialized care closer to home.
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