Spontaneous cerebrospinal rhinorrhoea: Case operated by rhinologic methods

Dohlman, G. F.

doi:10.3109/00016484809129635

Cited by 101 publications

(19 citation statements)

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“…The review of Lewin 69,70 of the British combat experience and a large series of skull fractures built the case for adopting more aggressive operative management of CSF leaks as the standard of care. 29 In 1948 Dohlman 36 performed the first extracranial repair of spontaneous CSF rhinorrhea via a naso-orbital incision. In 1981 Wigand 116 was the first to use an endoscope for the extracranial repair of a CSF leak.…”

Section: A Historical Overviewmentioning

confidence: 99%

Diagnosis and treatment of cerebrospinal fluid rhinorrhea following accidental traumatic anterior skull base fractures

Ziu¹,

Savage²,

Jimenez³

2012

FOC

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Cerebrospinal fluid rhinorrhea is a serious and potentially fatal condition because of an increased risk of meningitis and brain abscess. Approximately 80% of all cases occur in patients with head injuries and craniofacial fractures. Despite technical advances in the diagnosis and management of CSF rhinorrhea caused by craniofacial injury through the introduction of MRI and endoscopic extracranial surgical approaches, difficulties remain. The authors review here the pathophysiology, diagnosis, and management of CSF rhinorrhea relevant exclusively to traumatic anterior skull base injuries and attempt to identify areas in which further work is needed.

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Section: A Historical Overviewmentioning

confidence: 99%

Diagnosis and treatment of cerebrospinal fluid rhinorrhea following accidental traumatic anterior skull base fractures

Ziu¹,

Savage²,

Jimenez³

2012

FOC

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“…Management of this condition needs treatment strategy which devised taking into account the cause and the location of CSF fistula. Conservative management is a valid option and surgical treatment includes: transcranial approach [3,4] intracranial approach [5], Trans nasal approach [6], and endoscopic transnasal [7,8] or thecoperitoneal shunt [9,11,18]. Lumboperitoneal shunt has an advantage of being completely extra cranial procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The overall rate of cessation with conservative management 39.5%, 23 if conservative management extended to 7 days, resolution rates improve to 85% especially in posttraumatic cases [2]. Surgical treatment includes: transcranial approach [3,4] intracranial approach [5] Trans nasal approach [6], and endoscopic transnasal [7,8] or thecoperitoneal shunt [3,9,10].…”

Section: Introductionmentioning

confidence: 99%

Thecoperitoneal Shunt ‘Cast Away’

Rami¹

2016

JNSK

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Mechanical shunt complication accounts for more than half of all shunt failures. Ever since its introduction, the use of cerebrospinal shunting systems has led to complications. Nevertheless, complication, though fewer nowadays, persist. Such complications: mechanical failure, infections and migration. We are reporting a very rare case of thecoperitoneal shunt migration not only towards peritoneal cavity also towards third ventricle.

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“…He performed a frontal craniotomy and used fascia lata to occlude the defect. In 1948, the Swede Dohlman used a nasoseptal flap to cover a defect in the ethmoidal roof [25] but the pioneer of an endonasal approach was the Viennese Oskar Hirsch performing a transeptal approach to the sphenoid sinus where he closed a defect [26]. But it took until the 1990s of the last century before a trend towards strictly endoscopic endonasal approaches could be observed in the literature [27], [28].…”

Section: Techniques and Executionmentioning

confidence: 99%