Cerebrospinal fluid fistula from fractured acrylic cranioplasty plate

1976 ◽  
Vol 45 (2) ◽  
pp. 227-228 ◽  
Author(s):  
Harvey M. Henry ◽  
Caesar Guerrero ◽  
Robert A. Moody
Keyword(s):  
Cerebrospinal Fluid ◽  
Methyl Methacrylate ◽  
Cerebrospinal Fluid Fistula ◽  
Content Type ◽  
X Ray ◽  
External Evidence ◽  
Fluid Fistula ◽  
Fine Print

✓ The authors report a patient who developed a cerebrospinal fluid fistula secondary to a fractured methyl methacrylate cranioplasty plate. There was no external evidence of trauma. X-ray films showed no evidence of the fracture. It is suggested that the impregnation of methyl methacrylate with a radiopaque material would result in visualization of such fractures.

Treatment of postoperative subgaleal cerebrospinal fluid fistulas by using fibrin sealant

1999 ◽  
Vol 90 (6) ◽  
pp. 1143-1145 ◽  
Author(s):  
Tomas Menovsky ◽  
Joost de Vries ◽  
Heinz-Georg Bloss
Keyword(s):  
Cerebrospinal Fluid ◽  
Fibrin Sealant ◽  
Simple Technique ◽  
Cerebrospinal Fluid Fistula ◽  
Content Type ◽  
Fluid Fistula ◽  
Fine Print

✓ The authors describe a simple technique by which a postoperative subgaleal cerebrospinal fluid fistula is treated by local tapping and injection of fibrin sealant through the same needle.

Traumatic cerebrospinal fluid fistula simulating tears

1978 ◽  
Vol 49 (1) ◽  
pp. 121-123 ◽  
Author(s):  
Kiran K. Joshi ◽  
H. Alan Crockard
Keyword(s):  
Cerebrospinal Fluid ◽  
Young Child ◽  
Cribriform Plate ◽  
Csf Leak ◽  
Cerebrospinal Fluid Fistula ◽  
Medial Aspect ◽  
Csf Rhinorrhea ◽  
Content Type ◽  
Fluid Fistula ◽  
Fine Print

✓ A young child developed delayed cerebrospinal fluid (CSF) rhinorrhea and CSF leak from the eye presenting as tears. The “tears” were CSF which had tracked from the cribriform plate through the ethmoidal air sinuses to the medial aspect of the left orbit. There was marked chemosis and it was considered likely that the tears had leaked through damaged conjunctiva.

Meningitis following acute traumatic cerebrospinal fluid fistula

1970 ◽  
Vol 33 (3) ◽  
pp. 312-316 ◽  
Author(s):  
Edwin E. MacGee ◽  
Joseph C. Cauthen ◽  
Charles E. Brackett
Keyword(s):  
Cerebrospinal Fluid ◽  
Prophylactic Antibiotics ◽  
Present Series ◽  
Cerebrospinal Fluid Fistula ◽  
Csf Rhinorrhea ◽  
Content Type ◽  
Csf Fistula ◽  
Fluid Fistula ◽  
Fine Print

✓ The effect of prophylactic antibiotics in preventing meningitis are reviewed in 58 cases of acute traumatic cerebrospinal fluid (CSF) fistula. A summary of the literature plus data from the present series show a total of 402 cases of acute traumatic CSF fistula; there were 46 cases (14%) of meningitis in 325 patients receiving expectant antibiotics, and four cases (5%) in 77 patients treated without antibiotics. No statistically significant conclusion can be drawn from these data regarding the usefulness of expectant antibiotics in acute traumatic CSF rhinorrhea or otorrhea.

Complications of spinal drainage in the management of cerebrospinal fluid fistula

1981 ◽  
Vol 54 (3) ◽  
pp. 392-395 ◽  
Author(s):  
Carl J. Graf ◽  
Cordell E. Gross ◽  
David W. Beck
Keyword(s):  
Cerebrospinal Fluid ◽  
Nursing Staff ◽  
Cerebrospinal Fluid Fistula ◽  
Content Type ◽  
Csf Fistula ◽  
Csf Drainage ◽  
Fluid Fistula ◽  
Fine Print

✓ Continuous cerebrospinal fluid (CSF) drainage may be used in the treatment of CSF fistula. The procedure, however, is not without risk. Marked gradients between the intracranial and intraspinal CSF pressures and intravasation of air through an unsealed fistula may produce serious neurological problems. The use of continuous CSF drainage requires an alert, informed nursing staff to avert catastrophe.

Intradiploic cerebrospinal fluid fistula

1981 ◽  
Vol 54 (1) ◽  
pp. 84-88 ◽  
Author(s):  
Antonio C. G. D'Almeida ◽  
Robert B. King
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Fistula ◽  
Content Type ◽  
Operative Findings ◽  
Fluid Fistula ◽  
Fine Print

✓ Two patients with asymptomatic osteolytic skull lesions were found to have cerebrospinal fluid diploic fistulas. The radiographic and operative findings have not been reported previously.

Repair of cerebrospinal fluid fistula following transoral transclival approach to a basilar aneurysm

1979 ◽  
Vol 50 (6) ◽  
pp. 834-836 ◽  
Author(s):  
Akira Yamaura ◽  
Hiroyasu Making ◽  
Katsumi Isobe ◽  
Tsuneo Takashima ◽  
Takao Nakamura ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Nasal Cavity ◽  
Cerebrospinal Fluid Fistula ◽  
Content Type ◽  
Rotation Flap ◽  
Complete Closure ◽  
Fluid Fistula ◽  
Fine Print

✓ A technique for closure of a cerebrospinal fluid fistula following a transoral transclival approach to a basilar aneurysm is described. Transposition of a rotation flap of the mucosa of the septum and the floor of the posterior nasal cavity in the choana resulted in complete closure of the thin and fragile nasopharynx without tension at the suture site.

Extraosseous extradural tuberculous granuloma simulating a herniated lumbar disc

1971 ◽  
Vol 35 (4) ◽  
pp. 488-490 ◽  
Author(s):  
S. Balaparameswara Rao ◽  
I. Dinakar ◽  
K. Sreenivasa Rao
Keyword(s):  
Cerebrospinal Fluid ◽  
Granulation Tissue ◽  
Lumbar Disc ◽  
Disc Prolapse ◽  
Content Type ◽  
X Ray ◽  
Herniated Lumbar Disc ◽  
Tuberculous Granuloma ◽  
Fine Print

✓ A 25-year-old man with left-sided sciatica, in whom the cerebrospinal fluid and x-ray films of the spine were normal, was diagnosed as having a L5-S1 disc prolapse. At surgery extradural, extraosseous granulation tissue was removed, which histologically proved to be a tuberculous granuloma.

Delineation of the obex by contrast radiography during percutaneous trigeminal tractotomy

1972 ◽  
Vol 36 (1) ◽  
pp. 107-112 ◽  
Author(s):  
John L. Fox
Keyword(s):  
Cerebrospinal Fluid ◽  
Medulla Oblongata ◽  
Fourth Ventricle ◽  
Content Type ◽  
X Ray ◽  
Cisterna Magna ◽  
Contrast Radiography ◽  
Fine Print

✓ Accuracy of percutaneous implantation of an electrode into the descending trigeminal tract can be improved substantially by contrast radiography. A translateral x-ray film taken after 1 cc of Pantopaque emulsified with 1 cc of cerebrospinal fluid has been injected by midline puncture of the cisterna magna will outline the floor of the fourth ventricle, the obex, and the dorsum of the medulla oblongata. Injection is made under mild pressure and with the patient prone. This technique has been used successfully on 12 patients.

An investigation of structural degradation of cerebrospinal fluid shunt valves performed using scanning electron microscopy and energy-dispersive x-ray microanalysis

2004 ◽  
Vol 100 (3) ◽  
pp. 534-540 ◽  
Author(s):  
Spyros Sgouros ◽  
Susan J. Dipple
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Cerebrospinal Fluid ◽  
Energy Dispersive ◽  
Ventricular Catheter ◽  
Content Type ◽  
X Ray ◽  
Programmable Valve ◽  
Fine Print ◽  
Scanning Electron

Object. Surveys of cerebrospinal fluid (CSF) shunts that have been removed from patients have shown that even when the ventricular catheter is the cause of the obstruction, the valve may be obstructed or underperforming. The aim of this pilot study was to investigate the degradation of shunt valve structure over time due to the deposition of debris. The findings were compared with findings in unused valves. Methods. Scanning electron microscopy was used to visualize the structures of the valves. The items that were examined included two unused and nine explanted cylindrical medium pressure valves, one unused and six explanted Delta 1.5 valves (PS Medical, Goleta, CA), and one explanted Medos Programmable valve (Codman Johnson & Johnson, LeLocle, Switzerland). The valves were cut open, disassembled, and coated in gold. The areas that were analyzed included the main valve chamber, the diaphragm unit, and the antisiphon device. For areas with abnormal deposits, energy-dispersive x-ray microanalysis was performed to establish the chemical composition of the deposits. The reference unused valves had smooth surfaces with no deposits in any areas. All explanted valves had extensive deposits in all surveyed areas. The deposits varied from small clusters of crystals to large areas that displayed a cobblestone appearance. In diaphragm valves the deposits extensively affected the surface of the diaphragm and the gap between the diaphragm and the surrounding case, where normally CSF flows; in the Medos valve the deposits affected in the spring and “staircase” unit. Deposits were present as early as 2 weeks after implantation. On some valves there was a complete film covering the entire outlet of the valve, which formed a cast inside the valve stretching from wall to wall. The deposits consisted mostly of sodium and chloride, but occasionally contained calcium. In all infected and some noninfected valves there was a significant peak of carbon, indicating the presence of protein deposits. Conclusions. It appears that the continuous flow of CSF through shunt valves causes surface deposits of sodium chloride and other crystals on all aspects of the valve, including the outlet pathways. The formation of deposits may be encouraged by the adhesive properties of the materials that constitute the valve parts.

Intracranial lipoma

1980 ◽  
Vol 52 (2) ◽  
pp. 234-245 ◽  
Author(s):  
Ekkehard Kazner ◽  
Otto Stochdorph ◽  
Sigurd Wende ◽  
Thomas Grumme
Keyword(s):  
Cerebrospinal Fluid ◽  
Surgical Approach ◽  
Clinical Symptoms ◽  
Ct Scanning ◽  
Shunt Operation ◽  
Content Type ◽  
X Ray ◽  
Intracranial Lipoma ◽  
X Ray Absorption ◽  
Fine Print

✓ Eleven cases of intracranial lipoma, diagnosed during life by computerized tomography (CT) scanning, are presented. Clinical symptoms related to the lesions were present in eight. The CT scan establishes the diagnosis of intracranial lipoma on the basis of typical x-ray absorption and location. Only dermoid cysts and teratomas may produce a similar CT appearance. In cases of intracranial lipoma, a direct surgical approach is seldom necessary, although in certain locations, lipomas may cause blockage of cerebrospinal fluid pathways and require a shunt operation.

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