Spontaneous Cerebrospinal Fluid Leak of Posterior Surface of Temporal Bone: Review and Case Report

AbstractCongenital anomalies of the spine may occur with malformations of the central nervous, cardiovascular, gastrointestinal, respiratory, and genitourinary systems. This is a case of myelomeningocele with unilateral right renal agenesis in a newborn. The patient suffered complications of cerebrospinal fluid leak and meningitis, but was successfully treated and discharged on day 86. In this case, unilateral right renal agenesis represented a significant surgical risk because failure of the remaining kidney could result in renal failure. Because congenital anomalies of the spine may be associated with malformations of the genitourinary system, and additional surgeries were necessary in our case following birth, it is very important that the presence of genitourinary malformations be evaluated.

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Cerebrospinal Fluid Leak to the IPG Subcutaneous Pocket after Deep Brain Stimulation Implantation: A Case Report

Stereotactic and Functional Neurosurgery ◽

10.1159/000504680 ◽

2019 ◽

Vol 97 (5-6) ◽

pp. 404-406

Author(s):

Jaromir Hanuska ◽

Dusan Urgosik ◽

Stefan Raev ◽

Filip Ruzicka ◽

Robert Jech

Keyword(s):

Cerebrospinal Fluid ◽

Case Report ◽

Deep Brain Stimulation ◽

Brain Stimulation ◽

Cerebrospinal Fluid Leak ◽

Fluid Leak ◽

Deep Brain

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Cerebrospinal fluid leak after adenoidectomy: a case report

European Journal of Anaesthesiology ◽

10.1097/00003643-201306001-00490 ◽

2013 ◽

Vol 30 ◽

pp. 157-157 ◽

Cited By ~ 1

Author(s):

Linero I. Benítez ◽

Alguacil A. Fernández ◽

Carrillo F. Sánchez

Keyword(s):

Cerebrospinal Fluid ◽

Case Report ◽

Cerebrospinal Fluid Leak ◽

Fluid Leak

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Poster 439: Cerebrospinal Fluid Leak and Foot Drop Following Laminectomy: A Case Report

PM&R ◽

10.1016/j.pmrj.2017.08.379 ◽

2017 ◽

Vol 9 ◽

pp. S272-S272

Author(s):

Brian Pekkerman ◽

Bhavi Patel ◽

Margarita m. Nunez

Keyword(s):

Cerebrospinal Fluid ◽

Case Report ◽

Cerebrospinal Fluid Leak ◽

Foot Drop ◽

Fluid Leak

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Management of temporal bone meningo-encephalocoele

The Journal of Laryngology & Otology ◽

10.1017/s0022215108001990 ◽

2008 ◽

Vol 122 (11) ◽

pp. 1168-1174 ◽

Cited By ~ 7

Author(s):

K K Ramalingam ◽

R Ramalingam ◽

T M SreenivasaMurthy ◽

G R Chandrakala

Keyword(s):

Cerebrospinal Fluid ◽

Temporal Bone ◽

Otitis Media ◽

Cerebrospinal Fluid Leak ◽

Ossicular Chain ◽

Brain Herniation ◽

Suppurative Otitis Media ◽

Ossicular Chain Reconstruction ◽

Fluid Leak ◽

Mastoid Surgery

AbstractMeningo-encephalocoele of the temporal bone, also known as fungus cerebri, is a rare occurrence in clinical practice. We present a series of 13 patients with chronic otitis media who suffered brain herniation into the mastoid cavity. We also discuss the presentation and management of brain herniation with or without cerebrospinal fluid leak.Study design:Retrospective.Methods:Among 963 cases undergoing revision mastoid surgery, 13 patients suffered brain herniation. These cases were identified and analysed.Results:All 13 patients' initial diagnosis was chronic suppurative otitis media with cholesteatoma, and all had undergone previous mastoid surgery resulting in a defect in the tegmen and weakening of the dura mater. The revision procedures performed included 10 (76.9 per cent) modified radical mastoidectomies without ossicular chain reconstruction and one (7.6 per cent) modified radical mastoidectomy with ossicular chain reconstruction; two (15.3 per cent) patients required a blind sac closure. Brain herniation and/or cerebrospinal fluid leak were repaired by a transmastoid ± minicraniotomy procedure.Conclusions:Injury to the tegmen and dura should be avoided during surgery for chronic middle-ear disease. Cerebrospinal fluid leaks, if encountered, should be managed in the same surgical session. The transmastoid approach is helpful in repairing defects smaller than 1 cm in diameter, whereas the combined transmastoid-minicraniotomy approach provides good access when closing defects larger than 1 cm in diameter and also enables auto-calvarial grafting.

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