3,697 results match your criteria CSF Rhinorrhea


Diagnosis of Spontaneous Cerebrospinal Fluid Rhinorrhea Using Thin-Slice Computed Tomographic Images With Multiplanar Reconstruction and Three-Dimensional Virtual View Endoscopy.

Cureus 2022 Jul 14;14(7):e26868. Epub 2022 Jul 14.

Otolaryngology - Head and Neck Surgery, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka, JPN.

Spontaneous cerebrospinal fluid (CSF) rhinorrhea represents an important clinical entity, which is associated with elevated intracranial pressure and is rarely treated successfully without surgical intervention. Here we report a case of spontaneous CSF rhinorrhea. The patient was a 54-year-old male, who presented with bacterial meningitis and was referred to the Department of Otorhinolaryngology for a detailed examination of the nose and sinuses. Read More

View Article and Full-Text PDF

Spontaneous clival meningocele.

SAGE Open Med Case Rep 2022 6;10:2050313X221117334. Epub 2022 Aug 6.

Neuroradiology Department, Specialty Hospital of Rabat, Rabat, Morocco.

The occipital bone is an uncommon location for meningoceles protrusion. This condition occurs generally after a severe traumatism or surgical procedure. However, in some rare cases, the herniation can happen spontaneously. Read More

View Article and Full-Text PDF

Extra-axial endoscopic third ventriculostomy: preliminary experience with a technique to circumvent conventional endoscopic third ventriculostomy complications.

J Neurosurg 2022 Jul 8:1-11. Epub 2022 Jul 8.

3Department of Neurosurgery, Ramkrishna Care Hospital, Raipur Chhattisgarh, India.

Objective: Endoscopic third ventriculostomy (ETV) is mostly safe but may have serious complications. Most of the complications are inherent to the procedure's intra-axial nature. This study aimed to explore an alternative route to overcome inherent issues with conventional ETV. Read More

View Article and Full-Text PDF

Commentary: Endoscopic Endonasal Eustachian Tube Obliteration for Cerebrospinal Fluid Rhinorrhea: Case Series and Scoping Review.

Oper Neurosurg (Hagerstown) 2022 06 14;22(6):e235-e236. Epub 2022 Apr 14.

Department of Neurosurgery, University of Miami, Miller School of Medicine, Miami, Florida, USA.

View Article and Full-Text PDF

Endoscopic Endonasal Eustachian Tube Obliteration for Cerebrospinal Fluid Rhinorrhea: A Case Series and Scoping Review.

Oper Neurosurg (Hagerstown) 2022 06 13;22(6):345-354. Epub 2022 Apr 13.

Department of Otolaryngology, Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.

Background: Endoscopic endonasal eustachian tube obliteration (EEETO) is a valuable option for treating cerebrospinal fluid rhinorrhea (CSFR) after lateral skull base surgery. Several small case series describe different techniques because of the rarity of this indication.

Objective: To review available literature on EEETO focusing on technique and factors affecting success. Read More

View Article and Full-Text PDF

Treatment of pituitary adenoma with spontaneous cerebrospinal rhinorrhea using nasoseptal flap, two case reports.

Surg Neurol Int 2022 23;13:262. Epub 2022 Jun 23.

Department of Neurosurgery, Soonchunhyang University Cheonan Hospital, Cheonan, Republic of Korea.

Background: Postoperative cerebrospinal fluid (CSF) leakages are well documented, but pituitary adenoma with spontaneous CSF rhinorrhea as the initial symptoms are extremely rare. The objective of this study is to report two rare cases of pituitary adenoma with spontaneous CSF rhinorrhea successfully operated by endoscopic transsphenoidal approach with vascularized nasoseptal flap (NSF).

Case Description: A 70-year-old woman presented with a 6-month history of watery rhinorrhea and posterior nasal drip that worsened when her head leaning forward. Read More

View Article and Full-Text PDF

Prodromal characteristics of dementia with Lewy bodies: baseline results of the MEMENTO memory clinics nationwide cohort.

Alzheimers Res Ther 2022 07 19;14(1):96. Epub 2022 Jul 19.

CATI Multicenter Neuroimaging Platform, Saclay, France.

Background: Isolated subjective cognitive impairment (SCI) and mild cognitive impairment (MCI) are the prodromal phases of dementia with Lewy bodies (DLB). MEMENTO is a nationwide study of patients with SCI and MCI with clinic, neuropsychology, biology, and brain imaging data. We aimed to compare SCI and MCI patients with symptoms of prodromal DLB to others in this study at baseline. Read More

View Article and Full-Text PDF

Individual SNOT-22 Items Aid in Differentiating Between Spontaneous Cerebrospinal Fluid Rhinorrhea and Chronic Rhinosinusitis Without Nasal Polyps.

Ann Otol Rhinol Laryngol 2022 Jul 14:34894221111256. Epub 2022 Jul 14.

Department of Otolaryngology - Head and Neck Surgery, University of Texas Health San Antonio, San Antonio, TX, USA.

Objectives: Spontaneous cerebrospinal fluid (CSF) rhinorrhea is a diagnostic challenge due to its overlapping symptomatology with other sinonasal diseases. The objective of this study was to investigate whether items on the sinonasal outcome test (SNOT)-22 could suggest a diagnosis of spontaneous CSF rhinorrhea versus chronic rhinosinusitis without nasal polyps (CRSsNP).

Methods: A multi-institutional retrospective chart review of patients with spontaneous CSF rhinorrhea and a control group of CRSsNP patients was performed. Read More

View Article and Full-Text PDF

Comparison of two surgical approaches in the management of cerebrospinal fluid rhinorrhea in the lateral recess of sphenoid sinus: A retrospective study.

Ear Nose Throat J 2022 Jul 7:1455613221112760. Epub 2022 Jul 7.

Department of Otolaryngology and Head and Neck Surgery, Xijing Hospital, 12644Fourth Military Medical University, Xi'an, China.

Background: Cerebrospinal fluid (CSF) leakage from the lateral recess of the sphenoid sinus (LRSS) is usually repaired using endoscopic endonasal approaches, which can be challenging. Various surgical techniques have been developed for the disease.

Objective: To report our experience with repairing CSF leak from the LRSS via transethmoid sphenoidotomy approach (TESA) and transprelacrimal recess pterygoid root approach (TPLRA), to assess the efficiency of TPLRA by comparing it with TESA. Read More

View Article and Full-Text PDF

Radiological relationship of the ethmoid slit with the frontal sinus and the anterior ethmoidal artery and applications to the frontal sinus drillout.

Eur Arch Otorhinolaryngol 2022 Jun 30. Epub 2022 Jun 30.

Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Caen, Avenue de La Côte de Nacre, 14000, Caen, France.

Purpose: To compare two types of CT acquisition parameters: CT scan of the facial bone and CT scan of the sinuses, for studying the ethmoidal slit and its relationship with the frontal sinus and anterior ethmoidal artery.

Materials And Methods: Retrospective study of 145 scans of the sinuses and 79 of the facial bones performed between 2012 and 2016. On each scan, the visibility of the ethmoidal slits, their length, their distance from the ethmoidal artery, and their relationship with the anterior and posterior wall of the frontal sinus were studied. Read More

View Article and Full-Text PDF

Diagnostic Value of Radioisotope Cisternography Using In-DTPA in a Patient with Rhinorrhea and Purulent Meningitis.

Medicina (Kaunas) 2022 May 26;58(6). Epub 2022 May 26.

The Department of Infectious Diseases and Travel Medicine, Louis Pasteur University Hospital, Rastislavova 43, 04011 Kosice, Slovakia.

Cerebrospinal fluid (CSF) leakage is a rare condition. Prompt diagnosis and early treatment of CSF leakage minimizes the risk of severe complications such as bacterial meningitis. Different diagnostic modalities are used to detect the site of CSF leakage but often with unreliable results. Read More

View Article and Full-Text PDF

Endoscopic endonasal approaches for reconstruction of traumatic anterior skull base fractures and associated cerebrospinal fistulas: patient series.

J Neurosurg Case Lessons 2022 Jun 20;3(25):CASE2214. Epub 2022 Jun 20.

Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Background: Post-traumatic cerebrospinal fluid (CSF) leaks of the anterior skull base may arise after traumatic brain injury (TBI). Onset of CSF rhinorrhea may be delayed after TBI and without prompt treatment may result in debilitating consequences. Operative repair of CSF leaks caused by anterior skull base fractures may be performed via open craniotomy or endoscopic endonasal approaches (EEAs). Read More

View Article and Full-Text PDF

Endoscopic Endonasal Reconstruction Using a Pedicled Middle Turbinate Flap for Spontaneous Cerebrospinal Fluid Rhinorrhea.

J Craniofac Surg 2022 May 30;33(3):e318-e320. Epub 2021 Sep 30.

Department of Neurosurgery, Keio university School of Medicine, Tokyo, Japan.

Abstract: Although endoscopic skull-base reconstruction protocols to reduce cerebrospinal fluid (CSF) leakage are reported, the most effective management strategies have not been determined. We describe the successful repair of a spontaneous CSF leak using a vascularized middle turbinate flap (MTF) via an endonasal endoscopic approach and also discuss the effective reconstruction with other available pedicled flaps. An 11-year-old girl had a 5-month history of intermittent CSF rhinorrhea. Read More

View Article and Full-Text PDF

Incidence, Characteristics, and Outcomes of Pseudomeningocele and Cerebrospinal Fluid Fistula after Posterior Fossa Surgery.

World Neurosurg 2022 Aug 28;164:e1094-e1102. Epub 2022 May 28.

Department of Neurosurgery, Warren Alpert Medical School of Medicine of Brown University, Providence, Rhode Island, USA.

Objective: Posterior fossa approaches are common neurosurgical procedures. Rates of postoperative infection, pseudomeningocele, and cerebrospinal fluid (CSF) fistula are high; however, evidence regarding predisposing risk factors and treatment outcomes remain sparse.

Methods: A retrospective cohort study was carried out of all posterior fossa surgeries conducted at a single institution between January 2015 and October 2019. Read More

View Article and Full-Text PDF

Spontaneous Cerebro-Spinal Fluid Rhinorrhoea Caused by Sustained Intracranial Hypertension.

Cureus 2022 Apr 24;14(4):e24441. Epub 2022 Apr 24.

Emergency Department, Hamad Medical Corporation, Doha, QAT.

Cerebrospinal Fluid (CSF) leakage results from a defect in the skull base, which communicates the subarachnoid space with the nasal cavity. The most common cause of CSF leakage is traumatic, and non-traumatic causes are less common. This case report illustrates a case of a woman who presented to the emergency department with clear fluid pouring from her nose for three weeks with a fever. Read More

View Article and Full-Text PDF

Fibrin-coated collagen fleece versus absorbable dural sealant for sellar closure after transsphenoidal pituitary surgery: a comparative study.

Sci Rep 2022 05 14;12(1):7998. Epub 2022 May 14.

Department of Neurosurgery, Hôpital Erasme, Université Libre de Bruxelles, Route de Lennik 808, 1070, Bruxelles, Belgium.

Various surgical methods to prevent postoperative cerebrospinal fluid (CSF) leaks during transsphenoidal surgery have been reported. However, comparative studies are scarce. We aimed to compare the efficacy of a fibrin-coated collagen fleece (TachoSil) versus a dural sealant (DuraSeal) to prevent postoperative CSF leakage. Read More

View Article and Full-Text PDF

Repair of refractory postoperative cerebrospinal fluid leakage using a reversed dermis flap in a pediatric lipomyelomeningocele patient.

Childs Nerv Syst 2022 06 10;38(6):1185-1188. Epub 2022 May 10.

Department of Neurosurgery, Hyogo Prefectural Kobe Children's Hospital, 1-6-7 Minatojima-minamimachi, Chuo-ku, Kobe, Hyogo, 650-0047, Japan.

Introduction: Cerebrospinal fluid (CSF) leak and pseudomeningocele are common complications after surgery for spinal dysraphism.

Case Report And Technique: We report a 6-month-old girl with a lumbosacral lipomyelomeningocele and accessory lower limb who developed a refractory cerebrospinal fluid leak and pseudomeningocele after lipomyelomeningocele repair and removal of the accessory limb. The pseudomeningocele was successfully repaired using a reversed dermis flap made from excess skin that covered the meningocele. Read More

View Article and Full-Text PDF

[The value of magnetic resonance hydrography in the localization of fistula in patients with cerebrospinal fluid rhinorrhea].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Apr;36(4):300-303

Department of Otolaryngology Head and Neck Surgery,Tianjin Huanhu Hospital.

To evaluate the application value of magnetic resonance hydrography in determine the leak location of patients with cerebrospinal fluid rhinorrhea. Clinical data of 58 patients with cerebrospinal fluid rhinorrhea treated in Tianjin Huanhu Hospital from February 2015 to February 2021 were analyzed retrospectively. The leak position was judged by three methods: nasal sinus coronal CT, magnetic resonance hydrography and magnetic resonance hydrography combined with nasal sinus coronal CT. Read More

View Article and Full-Text PDF

Idiopathic Intracranial Hypertension: Implications for the Otolaryngologist.

Otolaryngol Clin North Am 2022 Jun 27;55(3):579-594. Epub 2022 Apr 27.

Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.

Idiopathic intracranial hypertension (IIH) is a triad of headaches, visual changes, and papilledema in the absence of a secondary cause for elevated intracranial pressure. There is an association with obesity, and the incidence is rising in parallel with the obesity epidemic. Sometimes these patients present to an otolaryngologist with complaints like tinnitus, dizziness, hearing loss, and otorrhea or rhinorrhea from cerebrospinal fluid leak. Read More

View Article and Full-Text PDF

[Surgical approach of transnasal endoscopic resection of benign lesions in the paramedian lateral skull base].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 May;36(5):352-356

Department of Otolaryngology Head and Neck Surgery,Tianjin Huanhu Hospital,Tianjin,300350,China.

To investigate the surgical approach of transnasal endoscopic resection of benign lesions in the paramedian lateral skull base. Retrospectively analyze 40 cases of the clinical data of patients with benign lesions of the skull base from August 2018 to February 2021 with transnasal endoscopic surgery, including 9 cases of cholesteatoma, 6 cases of hemangioma, 1 case of hemangiopericytoma, 6 cases of schwannoma, 15 cases of sphenoid sinus lateral crypt meningocele and cerebrospinal fluid leak, 3 cases of nasopharyngeal carcinoma bone inflammation after radiotherapy. All patients underwent transnasal endoscopic surgery, and different surgical approaches were selected according to the lesion location. Read More

View Article and Full-Text PDF

Vision improvement in indirect traumatic optic neuropathy treated by endoscopic transnasal optic canal decompression.

Am J Otolaryngol 2022 May-Jun;43(3):103453. Epub 2022 Apr 12.

Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan, Shandong, China. Electronic address:

Background: Indirect Traumatic optic neuropathy (ITON) is a severe disease characterized by a sudden decline of visual function after craniofacial injury. However, the best treatment for ITON is unknown. Endoscopic transnasal optic canal decompression (ETOCD) has gradually been used for ITON treatment worldwide in recent years. Read More

View Article and Full-Text PDF

The Evaluation of Variations in Patterns of Sphenoid Sinus Pneumatization Using Computed Tomography in a South Indian Population.

Cureus 2022 Mar 15;14(3):e23174. Epub 2022 Mar 15.

Radiodiagnosis, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

Background and objective Knowledge about sphenoid sinus pneumatization is critical for skull base surgeries and functional endoscopic sinus surgery (FESS) in order to avoid serious complications like postoperative meningitis, sinusitis, cerebrospinal fluid (CSF) rhinorrhea, and intracranial hematoma. In this study, we aimed to assess the proportion of anatomical variants in sphenoid sinus pneumatization and to determine the common sphenoid pneumatization pattern in a South Indian population. Methods This retrospective study was conducted over a period of six months from July 2019 to December 2019 among 573 patients who underwent non-contrast CT (NCCT) or contrast-enhanced CT (CECT) of the brain, paranasal sinuses (PNS), orbit, and face. Read More

View Article and Full-Text PDF

The efficacy and safety of intrathecal fluorescein in endoscopic cerebrospinal fluid leak repair -a systematic review.

Auris Nasus Larynx 2022 Dec 4;49(6):912-920. Epub 2022 Apr 4.

Department of Otorhinolaryngology, Queen Elizabeth Hospital, Birmingham, B15 2TH, United Kingdom.

Background: Effective management of cerebrospinal fluid (CSF) leaks can reduce significant associated morbidity. Intrathecal fluorescein (IF) may be a valuable intra-operative adjunct to localise leak sites. Recent reports have demonstrated low doses of IF to be safe, however, no internationally accepted dose of IF has been agreed. Read More

View Article and Full-Text PDF
December 2022

Intraoperative Injection of Normal Saline Through Lumbar Drainage for Transnasal Endoscopic Repair of Complex CSF Leaks.

Front Surg 2022 21;9:861406. Epub 2022 Mar 21.

Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

Objective: It is well known that accurate location of the leak in the operation is crucial for repairing cerebrospinal fluid leakage. The study aims to investigate the application of intraoperative injection of normal saline through lumbar drainage in repairing complex leaks.

Methods: The fistulas of all patients with CSF leak were located by computed tomography cisternography (CTC) or heavy T2 magnetic resonance imaging (MRI) before surgery. Read More

View Article and Full-Text PDF

Clinical Implementation of Platelet- and Extracellular Vesicle-Rich Product Preparation Protocols.

Tissue Eng Part A 2022 Aug 1. Epub 2022 Aug 1.

Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Extracellular vesicles (EVs) are considered essential mediators of regenerative roles of autologous platelet- and extracellular vesicle-rich plasma (PVRP) and platelet- and extracellular vesicle-rich gel (PVRG). PVRP and PVRG are novel blood-derived products gaining attraction in regenerative medicine. However, despite their reported good efficacy, their preparation protocols are too time-consuming. Read More

View Article and Full-Text PDF

Covid-19 Nasopharyngeal Swab Related CSF Rhinorrhoea: A case report.

Indian J Otolaryngol Head Neck Surg 2022 Mar 26:1-3. Epub 2022 Mar 26.

Department of Otolaryngology, Hacettepe University Faculty of Medicine, S?hh?ye/Ankara, Turkey.

With the onset of the COVID-19 pandemic, the number of nasopharyngeal swab samples has increased significantly. In this case report, the treatment of a patient who developed unilateral rhinorrhea after nasopharyngeal swab sample is presented. It is aimed to draw attention to the fact that this complication can be prevented with the appropriate technique during nasopharyngeal swab sampling. Read More

View Article and Full-Text PDF

Management of postoperative CSF rhinorrhea after retrosigmoid craniotomy: how I do it.

Acta Neurochir (Wien) 2022 Mar 29. Epub 2022 Mar 29.

Privolzhskiy Research Medical University, Nizhny Novgorod, Russian Federation.

Background: Cerebrospinal fluid (CSF) rhinorrhea as a complication of retrosigmoid craniotomy does not occur often today. This complication is primarily associated with the petrous bone drilling during surgery.

Method: The management of this complication is shown by the example of the patient with a trigeminal schwannoma located in posterior cranial fossa operated through resrisigmoid craniotomy. Read More

View Article and Full-Text PDF

Cerebrospinal Fluid Rhinorrhea Following Medical Treatment for an Invasive Macroprolactinoma.

Acta Endocrinol (Buchar) 2021 Jul-Sep;17(3):412

Chulalongkorn University - Department of Medicine, Bangkok, Thailand.

View Article and Full-Text PDF

[Analysis and management of delayed cerebrospinal fluid rhinorrhea after invasive pituitary adenoma surgery].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Mar;57(3):301-307

Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300350, China.

To investigate the related factors and treatments of delayed cerebrospinal fluid rhinorrhea (CFR) after invasive pituitary adenoma (IPA) surgery. One hundred and forty-two patients with IPA treated in Tianjin Huanhu Hospital from January 2014 to January 2019 were analyzed retrospectively, including 62 males and 80 females, aging from 38 to 67 years. The clinical data of patients before and after operation were collected. Read More

View Article and Full-Text PDF

Case Report: Detection of Transferrin in a Dog Suspected of Having Cerebrospinal Fluid Rhinorrhea.

Front Vet Sci 2022 4;9:845809. Epub 2022 Mar 4.

Veterinary Medical Center, Osaka Prefecture University, Izumisano, Japan.

A 12-year-old Yorkshire terrier was referred for epileptic seizures and nasal discharge. The fluid was clear and serous. Cerebrospinal fluid (CSF) rhinorrhea was suspected, based on clinical signs and MRI findings. Read More

View Article and Full-Text PDF