Spontaneous cerebrospinal fluid leak repair: A five‐year prospective evaluation

Abstract

Although spontaneous CSF leaks have the highest recurrence rate of any etiology, prospective evaluation demonstrates high success rates with control of intracranial hypertension.

Endoscopic management of CSF rhinorrhea

“…[12] Chaaban et al, on the basis of their 5-year prospective study on 46 patients with 56 spontaneous CSF leaks, concluded that successful treatment of elevated intracranial pressure in combination with endoscopic repair can provide high success rates (93% primary and 100% secondary) approaching that of other etiologies. [36] In our series of 11 patients with spontaneous CSF leaks, 4 patients had evidence of raised intracranial pressure and underwent a lumbar thecoperitoneal shunt placement. Of the two failures, one patient had an anteromedial sphenoid encephalocele, whereas the other developed CSF leak at a site different from the primary repair site following lumbar thecoperitoneal shunt malfunction.…”

Endoscopic Repair of CSF Fistulae: A Ten Year Experience

“…[20]. A series by Chaaban MR et al, with a series of 46 patients over five years success following a single endonasal procedure was 93% and 100% with a second procedure [21]. Similar studies worldwide have shown a high rate of success following an endoscopic repair of more than 90% and are today considered the standard of care for CSF rhinorrhoea.…”

Body Mass Index and Olfactory Fossa Depth in Patients with and without Spontaneous Cerebrospinal Fluid Leaks

“…Rowe and Sarkies [6] evaluated 34 patients, 31 of which were female, and saw a positive relationship between obesity (defined as a BMI of 30) and IIH. Elevated CSF pressures have been documented postoperatively in patients who have undergone SCSF leak repair [2]. Bony sellar expansion can be found in some patients with IIH, presumably due to the elevated CSF pressures [4,5].…”

“…Idiopathic intracranial hypertension (IIH) is linked to spontaneous cerebrospinal fluid (SCSF) leaks, empty sella syndrome, and obesity with elevated body mass index (BMI)[1,2,3]. In addition to empty sella syndrome, some patients with IIH develop bony sellar expansion [4,5].…”