scholarly journals Cerebrospinal fluid fistula management – border pathology ENT-neurosurgery

2015 ◽  
Vol 62 (3) ◽  
pp. 303-306
Author(s):  
Corneliu Toader ◽  
◽  
Mioriţa Toader ◽  
Mircea Drăghici ◽  
Alina Oprea ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracranial Pressure ◽  
Dominant Role ◽  
Diagnostic Methods ◽  
High Rate ◽  
Anatomical Location ◽  
Cerebrospinal Fluid Fistula ◽  
Csf Fistula ◽  
Rate Of Success ◽  
Fluid Fistula

The authors of this article mention the diagnostic methods, the surgery techniques and the postoperative care for the patients diagnosed with fistula of cerebrospinal fluid (CSF). The surgery cure depends on many factors, including here the etiology of the rhino-basis defect, intracranial pressure, anatomical location of the rhino-basis defect and it is strictly individualized, which depends on the success of all surgery procedures. ENT physicians, together with the neurosurgeons, were able to have a dominant role in the diagnostic evaluation and in the treatment of skull base pathology can give us a CSF fistula. Nasal endoscopy has revolutionized the treatment of CSF fistula, with a high rate of success.

scholarly journals Intraspinalependymomas and Their Association with Metastasis/ Disseminations in Patients Over a Period of 22 Years

2018 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Cerebrospinal Fluid ◽  
Tumor Recurrence ◽  
Descriptive Study ◽  
High Rate ◽  
Spinal Tumors ◽  
Intracranial Tumors ◽  
Cerebrospinal Fluid Fistula ◽  
Total Resection ◽  
Radicular Syndrome ◽  
Fluid Fistula

Introduction: Ependymomas are neuroepithelial tumors of variable morphological appearance whose treatment of choice is surgical. They represent 13% of intraspinal tumors and constitute 40% of spinal tumors in adults. In Cuba there are few studies about this pathology, hence the main objective is to evaluate the behavior of intraspinalependymomas in the Neurology and Neurosurgery Institute. Patients and Methods: A retrospective descriptive study of 47 patients operated on with a histological diagnosis of intraspinalependymomas in a period of 22 years was carried out. Results: In the patients studied, 51% started with a radicular syndrome. In ependymomas, the most frequent histology was myxopapillary (34%) and the terminal filum was the location that prevailed (48.9%). A total resection was achieved in 51.1%, postoperative complications were not frequent, being the cerebrospinal fluid fistula (19.1%) the most frequent. Half of the subjects evolved favorably. 40.4% of the intraspinalependymomas studied were from intracranial tumors, and of these 73.7% recurred. Primary spinal tumors did not disseminate in 92.9% of cases. Conclusions: Intraspinalependymomas may be primary of the spine or disseminations / metastases of other locations of the neuraxis. The disseminations do not depend on the degree or histological type. Spinal ependymomas have a high rate of tumor recurrence. The adequate postoperative functional recovery depends on an early diagnosis of intratrachealependymomas and the degree of surgical resection.

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.

Sacral Fracture with Pseudomeningocele and Cerebrospinal Fluid Fistula: Case Report and Review of the Literature

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 843-846 ◽  
Author(s):  
Mark N. Hadley ◽  
Philip L. Carter
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Sacral Fracture ◽  
Diagnostic Evaluation ◽  
Sacral Vertebra ◽  
Review Of The Literature ◽  
Cerebrospinal Fluid Fistula ◽  
Csf Fistula ◽  
Presenting Symptoms ◽  
Fluid Fistula

Abstract A patient who sustained an isolated transverse sacral fracture is presented. A large ventral sacral pseudomeningocele with cerebrospinal fluid (CSF) fistula developed. Eighteen previous cases of traumatic pseudomeningocele have been documented. A review of those cases leads these authors to conclude that: (a) transverse sacral fractures are rare and have not been reported in association with a pseudomeningocele formation; (b) at the 4th sacral vertebra, this is the lowest reported pseudomeningocele; and (c) CSF fistula with sacral fracture is distinctly uncommon, reported in only one previous case. The presenting symptoms, diagnostic evaluation, treatment, and prognosis are discussed.

scholarly journals Spontaneous lateral sphenoid cerebrospinal fluid fistula: MRI diagnosis

2012 ◽  
Vol 16 (1) ◽  
pp. 12-13 ◽  
Author(s):  
Matthew Goodier ◽  
Darlene Lubbe ◽  
Savvas Andronikou ◽  
Rene Truter
Keyword(s):  
Cerebrospinal Fluid ◽  
Radiological Evaluation ◽  
Resonance Imaging ◽  
Cerebrospinal Fluid Fistula ◽  
Csf Fistula ◽  
Transnasal Endoscopic Approach ◽  
Mri Diagnosis ◽  
Csf Rhinorrhoea ◽  
Preoperative Localisation ◽  
Fluid Fistula

Spontaneous or primary cerebrospinal fluid (CSF) fistula is a rare cause of CSF rhinorrhoea. Magnetic resonance imaging with high resolution highly T2-weighted images is valuable in preoperative localisation and characterisation of the defect particularly if a transnasal endoscopic approach is planned. This report describes the radiological evaluation and surgical management of a 53 year old male who presented with a spontaneous lateral sphenoid CSF fistula.

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.

Vascularized temporoparietal fascial flap for the treatment of a traumatic cerebrospinal fluid fistula in the middle cranial fossa

2009 ◽  
Vol 111 (2) ◽  
pp. 393-395 ◽  
Author(s):  
Mahmoud Taha ◽  
Thomas Carroll ◽  
Jeremy McMahon
Keyword(s):  
Cerebrospinal Fluid ◽  
Middle Cranial Fossa ◽  
Cerebrospinal Fluid Fistula ◽  
Pedicle Flap ◽  
Csf Fistula ◽  
Fascial Flap ◽  
Csf Leakage ◽  
Cranial Fossa ◽  
Fluid Fistula

The temporoparietal fascial flap (TPFF) is a vascularized pedicle flap commonly used in head and neck reconstructions. The authors describe the use of a TPFF in repairing a large traumatic middle cranial fossa CSF fistula via a middle cranial fossa approach. During the 18-month follow-up, the patient had no further CSF leakage or meningitis. The use of a TPFF for the repair of a traumatic CSF fistula has not been described in the literature. The authors recommend the use of a TPFF in treating recurrent or large middle cranial fossa CSF fistulas. The flap provides a well-vascularized thin layer that can be ideal in middle cranial fossa repair, and its proximity to the operation site is perfect as well.

Transnasal Repair of Cerebrospinal Fluid Fistula

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Sung-Il Nam ◽  
Ealmaan Kim ◽  
Myunghee Lee ◽  
Byung-Hoon Ahn ◽  
Sun-Ho Park
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Fistula ◽  
Fluid Fistula

Congenital Cerebrospinal Otorrhea

1979 ◽  
Vol 88 (3) ◽  
pp. 358-365 ◽  
Author(s):  
Richard R. Gacek ◽  
Bruce Leipzig
Keyword(s):  
Cerebrospinal Fluid ◽  
Initial Segment ◽  
Congenital Defects ◽  
Facial Canal ◽  
Cerebrospinal Fluid Fistula ◽  
Fallopian Canal ◽  
Cochlear Aqueduct ◽  
Cerebrospinal Fluid Leaks ◽  
Fluid Fistula ◽  
Petromastoid Canal

Four locations for congenital cerebrospinal fluid fistula in the region of a normal labyrinth are reviewed. A congenital leak may occur through the petromastoid canal, a wide cochlear aqueduct, Hyrtl's fissure, or the facial canal. A fistula through the initial segment of the fallopian canal was successfully repaired in a two-year-old boy who had three episodes of meningitis following otitis media. Knowledge of these four sites of congenital defects provides a guideline for the surgeon in the identification and repair of cerebrospinal fluid leaks in the region of the labyrinth.

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