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Csf Leaks
Book chapter

Csf Leaks

Scott M Graham
Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, pp.1203-1209
CRC Press, 8
2018
DOI: 10.1201/9780203731031-109

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Abstract

Few procedures reflect the tremendous benefits of endoscopic techniques in quite the same way as the endoscopic closure of CSF leaks. The repair of a newly diagnosed CSF leak is not an absolute surgical emergency and time can be taken to properly work-up and investigate the patient. Massive head trauma with complex comminuted and displaced fractures of the skull base can be incredibly difficult to treat. Open approaches may be of value for these patients. Congenital CSF leaks in association with encephalocele or meningoencephaloceles are uncommon. Tumours causing substantial erosion of the skull base may present with CSF rhinorrhea. A good deal of recent interest has centered on 'spontaneous CSF leaks' sometimes described as 'idiopathic'. A publication by Bachmann et al. looked at the incidence of occult cerebrospinal fluid fistulae during sinus surgery. CSF leaks complicating sinus surgery may also become evident in the post-operative period.
 Lumbar Drains Spontaneous Leaks Intra-cranial Pressure CSF Leak Endoscopic Sinus Surgery Ethmoid Roof Beta Trace Protein Lateral Lamella Brain Parenchymal Injury Endoscopic Closure Skull Base Defect Sphenoid Sinuses Posterior Ethmoidal Cell Anterior Skull Base Skull Base Massive Head Trauma Sinus Surgery Elevated BMI Skull Base Surgery Parathyroid Carcinoma Skull Base Centres Image Guided Surgery

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