3,490 results match your criteria CSF Rhinorrhea


Comments on "Sternberg's Canal-A Rare Cause of Spontaneous Cerebrospinal Fluid Rhinorrhea".

Neurol India 2020 May-Jun;68(3):701

Department of Otolaryngology, Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL, United States of America.

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http://dx.doi.org/10.4103/0028-3886.289009DOI Listing

Spontaneous Skull Base Cerebrospinal Fluid Leaks and Their Relationship to Idiopathic Intracranial Hypertension.

Am J Rhinol Allergy 2020 Jun 19:1945892420932490. Epub 2020 Jun 19.

Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia.

Background: The association between spontaneous skull base cerebrospinal fluid (CSF) leaks and idiopathic intracranial hypertension (IIH) has been suggested, but its significance remains unclear.

Objective: To estimate the prevalence of IIH in spontaneous skull base CSF leak patients.

Methods: Systematic collection of demographics, neuro-ophthalmic and magnetic resonance imaging evaluation of spontaneous skull base CSF leak patients seen pre- and post-leak repair in one neuro-ophthalmology service. Read More

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http://dx.doi.org/10.1177/1945892420932490DOI Listing

Intrathecal use of gadobutrol for gadolinium-enhanced MR cisternography in the evaluation of patients with otorhinorrhea.

Neuroradiology 2020 Jun 13. Epub 2020 Jun 13.

Department of Radiology, Division of Neuroradiology, Istanbul University-Cerrahpasa Medical Faculty, Istanbul, Turkey.

Purpose: Intrathecal gadolinium-enhanced MR cisternography (IGE-MRC) has a high sensitivity to detect accurate localization of cerebrospinal fluid (CSF) leakage in otorhinorrhea patients. Our purpose in this study was to describe our experience in analyzing clinically suspected CSF leakage by IGE-MRC by using gadobutrol with emphasis on its safety and diagnostic performance.

Methods: We retrospectively reviewed our imaging and clinical database for the evaluation of patients admitted to our clinic with complaints of otorhinorrhea between 2017 and 2019. Read More

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http://dx.doi.org/10.1007/s00234-020-02463-3DOI Listing

Post-Traumatic Meningitis Is a Diagnostic Challenging Time: A Systematic Review Focusing on Clinical and Pathological Features.

Int J Mol Sci 2020 Jun 10;21(11). Epub 2020 Jun 10.

Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome (RM), Italy.

Post-traumatic meningitis is a dreadful condition that presents additional challenges, in terms of both diagnosis and management, when compared with community-acquired cases. Post-traumatic meningitis refers to a meningeal infection causally related to a cranio-cerebral trauma, regardless of temporal proximity. The PICO (participants, intervention, control, and outcomes) question was as follows: "Is there an association between traumatic brain injury and post-traumatic meningitis?" The present systematic review was carried out according to the Preferred Reporting Items for Systematic Review (PRISMA) standards. Read More

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http://dx.doi.org/10.3390/ijms21114148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312088PMC

SPONTANEOUS CEREBROSPINAL FLUID LEAK AFTER INITIATION OF DOPAMINE AGONIST THERAPY IN MACROPROLACTINOMAS: TWO CASE REPORTS AND A LITERATURE REVIEW.

AACE Clin Case Rep 2020 Mar-Apr;6(2):e90-e93. Epub 2020 Mar 4.

Objective: To describe 2 spontaneous cerebrospinal fluid (CSF) leaks complicating treatment of macroprolactinoma (MPRL) with dopamine agonist (DA) therapy.

Methods: We present the 2 cases of spontaneous, DA-related CSF leaks. Prolactin levels were used to assess hyperprolactinemia. Read More

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http://dx.doi.org/10.4158/AACR-2019-0372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282151PMC

Enlargement of Dorello's Canal as a Novel Radiographic Marker of Idiopathic Intracranial Hypertension.

J Neurol Surg B Skull Base 2020 Jun 3;81(3):232-236. Epub 2019 May 3.

Department of Otorhinolaryngology - Head and Neck Surgery, Rush Sinus Program, Rush University Medical Center, Chicago, Illinois, United States.

 The objective of this study is to compare the visibility and size of Dorello's canal (DC) on magnetic resonance imaging between patients with idiopathic intracranial hypertension (IIH) and control patients, for its evaluation as a potential novel marker for chronic increased intracranial pressure (ICP).  Retrospective blinded case-control study.  Tertiary care academic center. Read More

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http://dx.doi.org/10.1055/s-0039-1688783DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253306PMC

Diagnosis and management of pediatric cerebrospinal fluid leakage secondary to inner ear malformations: A report of 13 cases.

Int J Pediatr Otorhinolaryngol 2020 Aug 13;135:110049. Epub 2020 Apr 13.

Department of Sleep Breathing Disorder Center and Department of Otorhinolaryngology, Sun Yat-sen University Sixth Affiliated Hospital, Guangzhou, Guangdong, China. Electronic address:

Objectives: Inner ear malformations (IEM) with cerebrospinal fluid (CSF) leakage in children is a rare condition, nevertheless, it may lead to meningitis. Early diagnosis and treatment are crucial. The aims of the study were to summarize the clinical characteristic of pediatric CSF leakage secondary to IEM, and to recommend transcanal endoscopic ear surgery (TEES) as an effective surgical technique for the treatment of CSF leakage with IEM in children. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110049DOI Listing

Traumatic Nonmissile Penetrating Transnasal Anterior Skull Base Fracture and Brain Injury with Cerebrospinal Fluid Leak: Intraoperative Leak Detection and an Effective Reconstruction Procedure for a Localized Skull Base Defect Especially After Coronavirus Disease 2019 Outbreak.

World Neurosurg 2020 Jun 1;140:166-172. Epub 2020 Jun 1.

Department of Neuorsurgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata, Japan.

Background: Cerebrospinal fluid (CSF) leakage after penetrating skull base injury is relatively rare compared with close head injuries involving skull base fractures.

Case Description: We report the case of a 65-year-old man who had presented with epistaxis and serous rhinorrhea. When he had fallen to the ground near his bee boxes, a garden pole had poked into his right nostril. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.236DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263210PMC

Excision of a Retrochiasmatic Craniopharyngioma by Transcallosal, Interforniceal Approach With Exoscope Assistance: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 Jun 4. Epub 2020 Jun 4.

Department of Neurosurgery, Lenox Hill Hospital, New York, New York.

Retrochiasmatic craniopharyngiomas are difficult to treat due to their close proximity to critical neurovascular structures. Several surgical approaches with distinct advantages and limitations have been described to access these tumors, including extended transnasal endoscopic approach (ETEA), subtemporal, translamina terminalis, and transpetrosal approach.1-3  We present a 51-yr-old male with a large retrochiasmatic craniopharyngioma extending into the third ventricle, causing obstructive hydrocephalus. Read More

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http://dx.doi.org/10.1093/ons/opaa130DOI Listing

Spontaneous, Intrasphenoidal Rupture of Ecchordosis Physaliphora with Pneumocephalus Captured During Serial Imaging and Clinical Follow-Up: Pathoanatomic Features and Management.

World Neurosurg 2020 May 31;141:85-90. Epub 2020 May 31.

Department of Radiology, NYU Langone Health, New York, New York, USA. Electronic address:

Background: Ecchordosis physaliphora (EP) is a congenital, uniformly asymptomatic, hamartomatous lesion of the primitive notochord. Herein we report, to our knowledge, the first credible case report of unprovoked intrasphenoidal rupture resulting in recurrent pneumocephalus and cerebrospinal fluid leak, definitively captured over serial imaging during clinical and radiologic surveillance.

Case Description: A 68-year old woman with Marfan syndrome presented to the emergency department with the worst headache of her life. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.220DOI Listing

Repair of the sellar floor using bioresorbable polydioxanone foils after endoscopic endonasal pituitary surgery.

Neurosurg Focus 2020 Jun;48(6):E16

Objective: Postoperative CSF leakage is the most common unwanted sequela of transnasal pituitary surgery. The individual anatomy, the extent of the sellar opening, and the occurrence of an intraoperative CSF leak add to the risk of postoperative rhinorrhea. Despite the current sophistication and recent developments in pituitary surgery, watertight closure of the sellar floor remains a matter of concern. Read More

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http://dx.doi.org/10.3171/2020.3.FOCUS2064DOI Listing

Nasoseptal Flap Necrosis After Endoscopic Skull Base Surgery in the Setting of SARS-CoV-2/COVID-19.

World Neurosurg 2020 May 29. Epub 2020 May 29.

Department of Otolaryngology, Head & Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Background: A novel viral strain known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has created a worldwide pandemic known as Coronavirus 2019 (COVID-19). Early reports from China highlighted the risks associated with performing endoscopic endonasal skull base surgery in patients with SARS-CoV-2. We present a rare complication of nasoseptal flap (NSF) necrosis associated with COVID-19, further emphasizing the challenges of performing these procedures in this era. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.237DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256530PMC

Chronic Aspiration Pneumonitis Caused by Spontaneous Cerebrospinal Fluid Fistulae of the Skull Base.

Laryngoscope 2020 May 25. Epub 2020 May 25.

Department of Neurosurgery, Keck School of Medicine of the University of Southern California,, Los Angeles, California, U.S.A.

Objectives/hypothesis: Spontaneous cerebrospinal fluid (CSF) leaks of the skull base are associated with obesity, multiparity, and elevated intracranial pressure. Although spontaneous CSF leaks often present with rhinorrhea, they can be an underdiagnosed cause of chronic aspiration pneumonitis, a complication that has not been previously reported in detail.

Study Design: Retrospective case series. Read More

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http://dx.doi.org/10.1002/lary.28757DOI Listing

A Rare Case of Sphenoid Encephalocoele Presenting with Fifth Cranial Nerve Involvement.

J Pediatr Neurosci 2020 Jan-Mar;15(1):25-28. Epub 2020 Mar 18.

Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.

A 14-year-old girl presented with chronic headache, recurrent episodes of vomiting, fever, and two episodes of generalized tonic clonic seizure in the past 2 months. Neuroimaging revealed herniation of the brain along with the dura through a defect in the left greater wing of the sphenoid. Left pterional craniotomy was carried out. Read More

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http://dx.doi.org/10.4103/JPN.JPN_8_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227746PMC

Efficacy of endoscopic transsphenoidal surgery for cushing's disease: Case series and review of the literature.

Neurol India 2020 Mar-Apr;68(2):403-406

Department of Neurosurgery, Nara Medical University, Kashihara, Japan.

Background: This study was performed to examine the efficacy of endoscopic transsphenoidal surgery (ETS) for Cushing's disease at a single institute and to review past reports.

Material And Methods: We studied eight consecutive patients who underwent ETS for Cushing's disease. The radiological evaluation comprised a detailed examination of preoperative magnetic resonance images (MRIs), including inferior petrosal sinus sampling, for cases with normal renal function. Read More

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http://dx.doi.org/10.4103/0028-3886.284363DOI Listing

Role of Adjunct Treatments for Idiopathic CSF Leaks After Endoscopic Repair.

Laryngoscope 2020 May 13. Epub 2020 May 13.

Department of Otolaryngology-Head & Neck Surgery, University of Miami-Miller School of Medicine, Miami, Florida, U.S.A.

Objective: A higher incidence of recurrent cerebrospinal fluid (CSF) leaks has been reported with idiopathic CSF leaks. A growing number of institutions advocate for routine use of intracranial pressure-lowering adjunct treatments after endoscopic repair. We report our results in a patient cohort in which only symptomatic patients are subjected to further testing and treatment. Read More

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http://dx.doi.org/10.1002/lary.28720DOI Listing

Contributing factors for delayed postoperative cerebrospinal fluid leaks and suggested treatment algorithm.

Int Forum Allergy Rhinol 2020 Jun 3;10(6):779-784. Epub 2020 May 3.

Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, OH.

Background: Delayed postoperative cerebrospinal fluid (CSF) leaks are uncommon and largely unstudied complications. In this study we aim to identify their etiology and understand the efficacy of various reconstruction strategies.

Methods: A retrospective chart analysis of 1017 endonasal skull base surgeries performed by a single neurosurgeon was completed identifying delayed CSF leaks (occurring >1 week after surgery). Read More

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http://dx.doi.org/10.1002/alr.22544DOI Listing

Endoscopic endonasal CSF rhinorrhea repair in children: Systematic review with meta-analysis.

Int J Pediatr Otorhinolaryngol 2020 Jul 10;134:110044. Epub 2020 Apr 10.

Department of Otolaryngology-Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA.

Objectives: Cerebrospinal fluid (CSF) rhinorrhea in children is relatively uncommon. Endoscopic repair techniques in adults have become first line for nasal-based CSF leaks, and this meta-analysis looks at the success rates of CSF leak cessation following endoscopic repair in children.

Methods: Three researchers extracted information involving patient population, surgical technique, outcomes of interest, and study design. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.110044DOI Listing

Surgical Nuances to Reduce and Manage Cerebrospinal Fluid Leaks after Microvascular Decompression.

J Clin Med 2020 Mar 25;9(4). Epub 2020 Mar 25.

Department of Neurosurgery, Seoul National University Bundang Hospital, Gyeonggi-do 13620, Korea.

Background: No dural substitute has proven to be complication-free in a large clinical trial, even suggesting some benefit during watertight closure. However, primary dural closure is not always possible due to dural shrinkage from electrocautery for dural bleeding.

Objective: This study is performed to analyze the clinical outcomes related to cerebrospinal fluid (CSF) leakage after microvascular decompression (MVD) using a simple surgical technique. Read More

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http://dx.doi.org/10.3390/jcm9040902DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230255PMC

When Mount Fuji Can Erupt after Seven Days: A Case Report of Delayed Posttraumatic Tension Pneumocephalus with Literature Review.

J Neurosci Rural Pract 2020 Jan 3;11(1):187-190. Epub 2020 Mar 3.

Department of Neurosurgery, Saveetha University, Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India.

Tension pneumocephalus (TPC) is a neurosurgical emergency that occurs when there is an expansion of trapped intracranial gas causing raised intracranial pressure. Rarely, posttraumatic TPC can occur even after 72 hours although the initial scans are normal. There are less than 20 cases of delayed TPC in the reported literature. Read More

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http://dx.doi.org/10.1055/s-0039-3399615DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080558PMC
January 2020

Rhinorrhea as a Result of Alzheimer's Disease Treatment.

Sr Care Pharm 2020 Apr;35(4):148-149

Pharmacists serving older individuals should be encouraged to avoid prescribing cascades by recommending medication discontinuation or dose reduction, whenever possible. Read More

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http://dx.doi.org/10.4140/TCP.n.2020.148.DOI Listing

Spontaneous Cerebral Spinal Fluid Rhinorrhea with Meningocele Secondary to Congenital Foramen Rotundum Defect: A Case Report and Review of Literature.

Asian J Neurosurg 2020 Jan-Mar;15(1):187-189. Epub 2020 Feb 25.

Department of Neurosurgery, College of Medicine, University of Florida, Jacksonville, Florida, USA.

Spontaneous cerebrospinal fluid (CSF) rhinorrhea is a rare occurrence. We present a case of spontaneous CSF rhinorrhea in a 57-year-old patient secondary to a sphenoid osseous defect involving the foramen rotundum and maxillary nerve with an associated arachnoid cyst and meningocele compressing the maxillary nerve. The location of the defect made correction amenable to an open skull-based approach. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_228_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057889PMC
February 2020

Immediate postoperative measurement of thyroid-stimulating hormone as an early predictor of remission in thyroid-stimulating hormone-secreting pituitary adenomas.

J Neurosurg 2020 Mar 13:1-7. Epub 2020 Mar 13.

1Department of Neurosurgery, Yonsei University College of Medicine, Seoul.

Objective: Thyroid-stimulating hormone (TSH)-secreting pituitary adenoma (TSHoma) is a rare type of pituitary adenoma; thus, little is known about TSHomas. The purpose of this study was to analyze clinical characteristics and therapeutic outcomes of TSHomas based on a single-center experience. The authors also searched for reliable preoperative and early postoperative factors that could predict long-term endocrinological remission. Read More

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http://dx.doi.org/10.3171/2020.1.JNS192787DOI Listing

Endoscopic Surgical Repair of a Giant, Postoperative, Neglected Meningoencephalocele.

Cureus 2020 Jan 22;12(1):e6739. Epub 2020 Jan 22.

Surgery - Head and Neck, Nicosia University, Nicosia, CYP.

Meningoencephalocele is a rare and potentially lethal disease, requiring early diagnosis and treatment. A 30-year-old male patient was diagnosed with a massive meningoencephalocele. His medical history included cerebrospinal fluid (CSF) rhinorrhea since the age of 7 years, which was attributed to right eye mining during infancy due to Coats disease. Read More

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http://dx.doi.org/10.7759/cureus.6739DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034767PMC
January 2020

Dissecting Aneurysm of the Basilar Artery-A Rare Complication of Bacterial Meningitis in a Postoperative Case of CSF Rhinorrhea.

Neurol India 2020 Jan-Feb;68(1):173-175

Department of Neurosurgery, Neuroimaging and Interventional, NIMHANS, Bengaluru, Karnataka, India.

Basilar artery dissections are rare events which present with subarachnoid hemorrhage (SAH), brain ischemia, and usually have a fatal outcome. Few case reports of mycotic dissections are published in literature. We report a case of a young male who underwent surgical treatment for post-traumatic CSF rhinorrhea. Read More

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http://dx.doi.org/10.4103/0028-3886.279691DOI Listing

A large case series of temporal bone fractures at a UK major trauma centre with an evidence-based management protocol.

J Laryngol Otol 2020 Mar 3;134(3):205-212. Epub 2020 Mar 3.

Department of ENT, Royal London Hospital, Barts Health NHS Trust, UK.

Objective: To review the management of temporal bone fractures at a major trauma centre and introduce an evidence-based protocol.

Methods: A review of reports of head computed tomography performed for trauma from January 2012 to July 2018 was conducted. Recorded data fields included: mode of trauma, patient age, associated intracranial injury, mortality, temporal bone fracture pattern, symptoms and intervention. Read More

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http://dx.doi.org/10.1017/S0022215120000419DOI Listing

Surgical outcomes of the endonasal endoscopic approach within a standardized management protocol for repair of spontaneous cerebrospinal fluid rhinorrhea.

J Neurosurg 2020 Feb 28:1-7. Epub 2020 Feb 28.

Departments of1Neurological Surgery and.

Objective: Spontaneous CSF leaks are rare, their diagnosis is often delayed, and they can precipitate meningitis. Craniotomy is the historical "gold standard" repair for these leaks. An endonasal endoscopic approach (EEA) offers potentially less invasiveness and lower surgical morbidity than a traditional craniotomy but must yield the same surgical success. Read More

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http://dx.doi.org/10.3171/2019.12.JNS192891DOI Listing
February 2020

Topical intranasal fluorescein to localize a cerebrospinal fluid leak: a demonstration.

Am J Otolaryngol 2020 Feb 11:102413. Epub 2020 Feb 11.

Department of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA. Electronic address:

Background: Intrathecal fluorescein is commonly used to localize cerebrospinal fluid leaks. This technique is invasive and associated with several potential adverse effects. The purpose of this video presentation is to demonstrate an alternative technique, the intranasal use of dilute topical fluorescein, to localize a cerebrospinal fluid leak intraoperatively. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102413DOI Listing
February 2020

Successful Treatment of Spontaneous Cerebrospinal Fluid Rhinorrhea With Endoscopic Third Ventriculostomy and Lumboperitoneal Shunt: A Case Report.

Front Neurosci 2020 31;14:57. Epub 2020 Jan 31.

Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China.

Spontaneous cerebrospinal fluid (CSF) rhinorrhea represents an important clinical entity that is being observed with increasing prevalence, ranging from 14 to 55%. Spontaneous CSF rhinorrhea is associated with elevated intracranial pressure (ICP), which is rarely stopped without surgical intervention. Endoscopic endonasal repair is typically warranted for CSF rhinorrhea. Read More

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http://dx.doi.org/10.3389/fnins.2020.00057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006486PMC
January 2020

Huge Anterior Skull Base Defect Reconstruction on Communicating Between Cranium and Nasal Cavity: Combination Flap of Galeal Flap and Reverse Temporalis Flap.

J Craniofac Surg 2020 Mar/Apr;31(2):436-439

Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Introduction: Traditionally, galeal flap or cranialization was often used to reconstruct the skull base defect caused by trauma or tumor removal. However, in the case of huge skull base defect, galeal flap is not enough to block the communication between nasal cavity and intracranial space. In this study, authors suggest combination flap of galea and reverse temporalis muscle as a method for reconstruction of huge skull base defect. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006221DOI Listing
February 2020
0.676 Impact Factor

Endonasal endoscopic surgery for pediatric anterior cranial fossa encephaloceles: A systematic review.

Int J Pediatr Otorhinolaryngol 2020 Feb 1;132:109919. Epub 2020 Feb 1.

Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, New York, NY, USA.

Background: Endoscopic endonasal skull base surgery (ESBS) is a well-established management strategy for anterior cranial fossa (ACF) encephaloceles in adults. However, its application to the pediatric population has not been evaluated in large-scale studies. This study systematically reviews the safety of ESBS for pediatric ACF encephaloceles. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109919DOI Listing
February 2020

Spontaneous CSF rhinorrhea as a presenting symptom of a clival chordoma.

Neurocirugia (Astur) 2020 Jan 27. Epub 2020 Jan 27.

CHGU, Valencia, Spain.

CSF rhinorrhea is a rare presenting symptom of a clival chordoma as these tumors do not tend to show dural invasion as a histological feature. Here we discuss the case of a 61 years old female with spontaneous rhinorrhea secondary to a clival chordoma, and the value of some specific MRI sequences in accurate identification of a tumor with such atypical presentation, enabling the surgeon to plan accordingly. Read More

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http://dx.doi.org/10.1016/j.neucir.2019.12.002DOI Listing
January 2020

[Repair of Spontaneous Cerebrospinal Fluid Leakage due to Multiple Defects in the Skull Base:A Case Report].

No Shinkei Geka 2020 Jan;48(1):55-62

Department of Neurosurgery, Fukushima Medical University.

Spontaneous cerebrospinal fluid(CSF)rhinorrhea may have multiple leakage sites, and occasionally, may become difficult to manage. A 46-year-old man was admitted to our hospital presenting with bacterial meningitis that occurred after CSF rhinorrhea. The CSF leak had stopped following conservative medical treatment;however, it recurred immediately. Read More

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http://dx.doi.org/10.11477/mf.1436204134DOI Listing
January 2020

Top-cited articles in cerebrospinal fluid leak (rhinorrhea and otorrhea) (1945-2018).

Braz J Otorhinolaryngol 2020 Jan 14. Epub 2020 Jan 14.

Miguel Hernandez University of Elche, Department of Clinical Medicine, Alicante, Spain.

Introduction: As scientific knowledge has grown in biomedicine, it has also become necessary to develop tools to manage and understand the body of evidence. In that sense, bibliometrics has become a consolidated discipline for analyzing scientific activity, enabling the characterization of a particular field or area of knowledge by means of the quantification of the bibliographic characteristics of scientific publications.

Objective: The objective of this study was to determine the most frequently cited articles in the field of cerebrospinal fluid rhinorrhea and otorrhea. Read More

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http://dx.doi.org/10.1016/j.bjorl.2019.12.002DOI Listing
January 2020

Current management of congenital anterior cranial base encephaloceles.

Int J Pediatr Otorhinolaryngol 2020 Apr 8;131:109868. Epub 2020 Jan 8.

Departments of Otolaryngology - Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address:

Objectives: Congenital encephaloceles provide unique diagnostic and reconstructive challenges for the pediatric rhinologist. The objectives of the current study were to evaluate contemporary treatment strategies for congenital encephaloceles focusing on presentation, surgical technique, and outcomes.

Methods: Multi-institutional retrospective chart review of congenital encephaloceles (2003-2019). Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109868DOI Listing

Spontaneous Nasal Cerebrospinal Fluid Leak Repaired With Single-Layer Mucoperichondrial Graft: Long-term Results.

Am J Rhinol Allergy 2020 May 13;34(3):382-387. Epub 2020 Jan 13.

Department of Otolaryngology-Head and Neck Surgery, University Hospital of Modena, Modena, Italy.

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http://dx.doi.org/10.1177/1945892419900485DOI Listing

[Clinical analysis of transnasal endoscopic repair of cerebrospinal fluid rhinorrhea].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Dec;33(12):1189-1195;1199

Department of Otorhinolaryngology Head and Neck Surgery/Nasal Skull Base Surgery,the Affiliated Hospital of Qingdao University,Shandong Key Laboratory of Otorhinolaryngology Head and Neck Surgery,Qingdao,266000,China.

To summarize the common clinical types of cerebrospinal fluid(CSF) rhinorrhea and key points of transnasal endoscopic repair of CSF rhinorrhea. To evaluate clinical effects. In 29 patients with cerebrospinal fluid rhinorrhea, 9 patients with traumatic CSF rhinorrhea, 10 patients with spontaneous CSF rhinorrhea, 7 patients with CSF rhinorrhea after tumour excision, and 3 patients with iatrogenic CSF rhinorrhea. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.12.018DOI Listing
December 2019

Frontal Bone Fractures and Frontal Sinus Injuries: Treatment Paradigms.

Authors:
Priya Jeyaraj

Ann Maxillofac Surg 2019 Jul-Dec;9(2):261-282

Commanding Officer Military Dental Centre (Gough Lines), Secunderabad, Telangana, India.

Background: Timely, expeditious and appropriate management of Frontal bone fractures and associated Frontal Sinus (FS) injuries are both crucial as well as challenging. Treatment options vary considerably, depending upon the nature, extent and severity of these injuries as well as operator skill, expertise and experience. In cases of posterior table fractures of the Frontal Sinus, literature reports have in general, propounded direct visualization and exploration of the sinus via a bifrontal craniotomy, followed by sinus cranialization. Read More

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http://dx.doi.org/10.4103/ams.ams_151_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6933972PMC
January 2020

Letter to the Editor Regarding "Postoperative Cerebellar Cyst with Pseudomeningocele After Tumor Removal at the Craniovertebral Junction".

Authors:
Ma Feihan

World Neurosurg 2020 01;133:454

Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:

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http://dx.doi.org/10.1016/j.wneu.2019.09.127DOI Listing
January 2020

[Study on the causes, prevention and treatment of complications after transsphenoidal pituitary tumor resection under neuroendoscope].

Zhonghua Yi Xue Za Zhi 2019 Dec;99(48):3803-3807

Neurosurgery Department of Xinxiang Central Hospital Affiliated to Xinxiang Medical College, Xinxiang 453000,China.

To analyze the causes of complications after endoscopic transsphenoidal pituitary adenoma resection and summarize the corresponding prevention and treatment measures. The pathological data of 120 patients with pituitary adenoma in hospital were analyzed retrospectively. All patients were treated surgically, five kinds of common complications were collected, the risk factors of complications were statistically analyzed, the causes of postoperative complications were determined, and then the specific prevention and treatment strategies were summarized. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.48.009DOI Listing
December 2019

Ecchordosis physaliphora: a cautionary tale.

J Laryngol Otol 2020 Jan 20;134(1):46-51. Epub 2019 Dec 20.

Department of Otolaryngology, Pisa University Hospital, Italy.

Background: Ecchordosis physaliphora is a congenital, benign lesion originating from notochordal remnants along the craniospinal axis, most frequently located at the level of the clivus and sacrum. Sometimes ecchordosis physaliphora is difficult to recognise and treat, with a total of twenty-six cases described in the literature.

Methods: This study reports on three cases of previously undiagnosed ecchordosis physaliphora presenting with cerebrospinal fluid rhinorrhoea and meningitis. Read More

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http://dx.doi.org/10.1017/S0022215119002512DOI Listing
January 2020

The Utility of Computed Tomography and Intrathecal Fluorescein in the Management of Cerebrospinal Fluid Leak.

Am J Rhinol Allergy 2020 May 19;34(3):342-347. Epub 2019 Dec 19.

Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, Kansas.

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http://dx.doi.org/10.1177/1945892419896243DOI Listing

Frontal sinus fractures and cerebrospinal fluid leaks: a change in surgical paradigm.

Curr Opin Otolaryngol Head Neck Surg 2020 Feb;28(1):52-60

Department of Otolaryngology Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Purpose Of Review: Traditionally, frontal sinus trauma has been treated using open incisions to access the anterior and/or posterior table. Mounting evidence indicates frontal sinus trauma can be managed using an endoscopic endonasal approach (EEA) with less morbidity. Such an approach permits preservation of a functional sinus and less reliance on computed tomography for postoperative follow up. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000602DOI Listing
February 2020

Economic implications of localization strategies for cerebrospinal fluid rhinorrhea.

Int Forum Allergy Rhinol 2020 03 12;10(3):419-425. Epub 2019 Dec 12.

Department of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA.

Background: The direct costs associated with different diagnostic algorithms to localize cerebrospinal fluid (CSF) rhinorrhea have not been described.

Methods: A decision-tree analysis of imaging modalities used to localize CSF rhinorrhea was performed to compare associated direct costs. The primary outcome was cost, which was determined based on reimbursement data published by the Centers for Medicare and Medicaid Services in 2018. Read More

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http://dx.doi.org/10.1002/alr.22501DOI Listing

Cerebrospinal Fluid Rhinorrhea Secondary to Idiopathic Intracranial Hypertension.

Authors:
Amal Alkhotani

Case Rep Neurol 2019 Sep-Dec;11(3):295-298. Epub 2019 Nov 14.

Department of Medicine, Umm AlQura University, King Abdulla Medical City, Makkah, Saudi Arabia.

Idiopathic intracranial hypertension (IIH) is a syndrome of increased intracranial pressure without a mass lesion or ventriculomegaly and normal cerebrospinal fluid (CSF) composition. Patients typically present with a headache and visual symptoms and signs. Here, we discuss a rare presentation of spontaneous CSF leak secondary to IIH and mild ophthalmic finding that worsened after the cranial repair of the CSF leak. Read More

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http://dx.doi.org/10.1159/000503813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902252PMC
November 2019

Notable effect of bromocriptine monotherapy on macroprolactinoma with self-limited cerebrospinal fluid rhinorrhea.

Pol Arch Intern Med 2019 12 9;129(12):927-929. Epub 2019 Dec 9.

Department of Neurosurgery, Xijing Hospital, Air Force Medical University, Xi’an, Shanxi, China.

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http://dx.doi.org/10.20452/pamw.15095DOI Listing
December 2019

Preoperative risk assessment for predicting the opening of mastoid air cells in lateral suboccipital craniotomy for microvascular decompression.

Clin Neurol Neurosurg 2020 02 25;189:105624. Epub 2019 Nov 25.

Department of Neurosurgery, Mito Brain Heart Center, Mito, Ibaraki, Japan.

Objective: Opening of mastoid air cells (MACs), a complication of lateral suboccipital craniotomy for microvascular decompression (MVD), might cause cerebrospinal fluid (CSF) leakage and meningitis. Only a few studies have investigated the association of degree of MAC development and actual opening of MACs. The present study focused on preoperative risk assessment for predicting the opening of MACs. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.105624DOI Listing
February 2020

Endoscopic surgical treatment of Cushing's disease: A single-center experience of cauterization of peritumoral tissues.

Exp Ther Med 2019 Dec 3;18(6):4420-4426. Epub 2019 Oct 3.

Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China.

Endoscopic transsphenoidal surgery is a form of treatment for Cushing's disease that is initially preferred compared with other types of treatment. Peritumoral tissue is inactivated by cauterization if a clear border of the lesion cannot be identified. In order to compare the surgical outcomes and post-operative complications between patients who underwent inactivation (cauterization of peritumoral tissues is referred to as inactivation) and those who did not, the medical records of patients treated between January 2010 and June 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.3892/etm.2019.8075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6862633PMC
December 2019

Cranial nerve V2 and Vidian nerve trauma secondary to lateral pterygoid recess encephalocele repair.

Int Forum Allergy Rhinol 2020 01 27;10(1):81-88. Epub 2019 Nov 27.

Sinus & Nasal Institute of Florida, St. Petersburg, FL.

Background: The incidence of adverse sequelae related to trauma of cranial nerve V (V2) and the Vidian nerve (VN) during endoscopic pterygoid recess repair (PRR) of lateral sphenoid encephalocele is insufficiently reported in the medical literature. As part of our quality assessment and improvement program we sought to analyze the incidence and severity of V2 and VN injury during a 9-year experience (2010-2018) with PRR.

Methods: Hypoesthesia, paresthesia, and dry eye and their impact on patient quality of life were sought through chart review and a self-reported 0 to 5 Likert scale for each symptom. Read More

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http://dx.doi.org/10.1002/alr.22448DOI Listing
January 2020