Management of post-traumatic cerebrospinal fluid (CSF) leak of anterior skull base: 10 years experience

Schoentgen, Clement; Henaux, Pierre Louis; Godey, Benoît; Jégoux, Franck

doi:10.3109/00016489.2013.793821

Cited by 39 publications

(62 citation statements)

References 17 publications

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Section: Discussionmentioning

confidence: 97%

“…We think that a wait and see policy can also be acceptable in selected cases, when beta2 transferrin sampling is negative or when the leaking fluid is difficult to collect [28]. Such conservative management can lead to the complete resolution of symptoms, but it is burdened by a high risk of intracranial infections and recurrences [28]. Indeed, Yadav and colleagues [29] reported a 10% rate of intracranial infection in patients with untreated rhinoliquorrhea within a year, and a 85% infection rate within 10 years [29,30].…”

Section: Discussionmentioning

confidence: 98%

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The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly

Emanuelli

Milanese

Rossetto

et al. 2015

Clinical Neurology and Neurosurgery

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly

Emanuelli

Milanese

Rossetto

et al. 2015

Clinical Neurology and Neurosurgery

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“…Schoentgen C et al reports a 22.5% failure rate [19] and Virk JS et al reports an 11% failure rate . [20] American college recommends that the success rate of endoscopic repair should be above 90%.…”

Section: Discussionmentioning

confidence: 99%

Is endoscopic repair a successful method in the treatment of CSF Rhinorrhoea? a retrospective study

Dissanayake¹,

Dayasena²

2017

Ceylon J Otolaryngology

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BackgroundCSF rhinorrhoea is an important condition that can lead to morbidity and mortality. The endoscopic method has become the gold standard today for the treatment of nasal CSF fistulae. Many authors have shared their experience in endoscopic CSF leak repair but Sri Lankan data are not available. Hence, it is important to retrospectively audit the Sri Lankan practice. The study aimed at analysing the demographic data and success rates of endoscopic CSF leak repair. MethodologyIt is a retrospective study. Clinical records of all the patients who have undergone endoscopic CSF leak repair at the National Hospital of Sri Lanka during the past 7 years were included in the study. Results29 patients were included in the study. Whilst 20(69%) patients were having spontaneous CSF rhinorrhoea 9(31%) patients had a traumatic aetiology. Out of the patients with spontaneous CSF leak repair 16(80%) were females. The overall success rate of the surgery was 93% which was keeping the international published data. ConclusionEndoscopic CSF repair is a method which is globally accepted and has a very low morbidity and mortality.

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“…15 A recent 10-year study published in 2013 also corroborates this view. 16 It is therefore safe to opine that anterior CSF leaks that do not respond to conservative management are probably best managed by endoscopic repair in the first attempt as they score over conventional approaches, the relative advantages and disadvantages of which have already been mentioned above.…”

Section: Resultsmentioning

confidence: 99%

Diagnosis and Management of Anterior CSF Leaks : Our Experience

Chatterji¹,

Ranjan²

2015

jemds

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CSF leaks through the nose (CSF rhinorrhea) may occur due to defects in the anterior, middle or posterior cranial fossa. Among them, anterior CSF leaks are most commonly encountered in clinical practice and may be traumatic or spontaneous in origin. A prompt diagnosis is essential as the main risk of a persistent leak is the chance of developing life threatening meningitis. Radiological imaging by non-contrast high-resolution CT scan is the initial investigation of choice and shows the site of leak in most cases. In case of recent onset leaks, a period of conservative management is indicated. If conservative management fails, then the traditional neurosurgical procedures like craniotomy and other open approaches were the most preferred line of management of such leaks till a few years back. But now endoscopic repair of these leaks has provided a better alternative because of reduced surgical morbidity, hospital stay and costs. We present our initial experience with seven cases of anterior CSF rhinorrhea which were encountered in a two year period in our institute. Two out of three cases with recent onset leaks healed spontaneously with medical management while five cases required endoscopic repair with two surgical failures.

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Management of post-traumatic cerebrospinal fluid (CSF) leak of anterior skull base: 10 years experience

Cited by 39 publications

References 17 publications

The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly

The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly

Is endoscopic repair a successful method in the treatment of CSF Rhinorrhoea? a retrospective study

Diagnosis and Management of Anterior CSF Leaks : Our Experience

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