3,380 results match your criteria CSF Rhinorrhea


A Primary Clival Defect: Endoscopic Binostril Approach With Nasal Septal Flap Closure and Preservation of Septal Integrity.

Ear Nose Throat J 2019 Apr 8:145561319839507. Epub 2019 Apr 8.

1 ENT - São Paulo ENT Center - Hospital Professor Edmundo Vasconcelos, São Paulo, Brazil.

Primary spontaneous cerebrospinal fluid (CSF) rhinorrhea is an unusual phenomenon that may occur anywhere along the skull base. However, CSF leaks originating from clival defects are rarely reported in the literature. The majority of reported cases were managed with microscopic techniques, using free grafts. Read More

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http://dx.doi.org/10.1177/0145561319839507DOI Listing
April 2019
1 Read

International consensus statement on endoscopic skull-base surgery: executive summary.

Int Forum Allergy Rhinol 2019 Apr 8. Epub 2019 Apr 8.

Department of Otolaryngology, School of Medicine, University of North Carolina,, Chapel Hill, NC.

Background: Endoscopic skull-base surgery (ESBS) is a rapidly growing discipline that often combines the expertise of otolaryngology-head and neck surgeons and neurosurgeons to provide care for these challenging conditions. As the field has grown, so too has the literature evaluating this surgical approach and the challenges and complications associated with these interventions. An international, multidisciplinary effort to critically evaluate and grade the current literature on ESBS has resulted in the International Consensus Statement on Endoscopic Skull Base Surgery (ICAR:SB). Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/alr.22327
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http://dx.doi.org/10.1002/alr.22327DOI Listing
April 2019
3 Reads

Isolated intraparenchymal tension pneumocephalus.

Proc (Bayl Univ Med Cent) 2018 Oct 21;31(4):537-538. Epub 2018 Sep 21.

Department of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.

Pneumocephalus after trauma is not uncommon but rarely develops into tension pneumocephalus. Delayed-onset spontaneous tension pneumocephalus is rare, and delayed-onset isolated intraparenchymal/intracerebral tension pneumocephalus is even more so. We describe a 35-year-old man who presented with urinary incontinence, left eye vision loss, and nasal discharge/cerebrospinal fluid rhinorrhea 2 months after recovering from bifrontal hemorrhagic contusions following a road traffic accident. Read More

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http://dx.doi.org/10.1080/08998280.2018.1498680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414021PMC
October 2018
2 Reads

Delayed Pneumoventricle Following Endonasal Cerebrospinal Fluid Rhinorrhea Repair with Thecoperitoneal Shunt.

Asian J Neurosurg 2019 Jan-Mar;14(1):325-328

Department of Neurosurgery, Achanta Lakshmipathi Neurosurgical Centre, Voluntary Health Services Hospital, Chennai, Tamil Nadu, India.

Pneumocephalus and pneumoventricle are well-documented in neurosurgical practice. Although both are common posttraumatic sequelae, iatrogenic causes are also well recognized. Iatrogenic causes may be seen after intracranial surgical procedures or cerebrospinal fluid (CSF) diversion procedures. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_224_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417346PMC
April 2019
1 Read

Meningitis for Secondary to Paradoxical Cerebrospinal Fluid Rhinorrhea as a Complication of Retrosigmoid Approach.

Asian J Neurosurg 2019 Jan-Mar;14(1):310-313

Department of Neurosurgery, Hospital Militar Central, Universidad Militar Nueva Granada, Bogota, Colombia.

Rhinorrhea secondary to a retrosigmoid approach is rare, but when it manifests, it is due to a paradoxical cerebrospinal fluid (CSF) leak, as a result of the communication between the mastoid cells, middle ear, and eustachian tube, which finally ends on the release of CSF through the nasopharynx. Abnormal communications increases the risk of infections, not only at the surgical site but also through an ascending path. Magnetic resonance cisternography (MRC) with intrathecal gadolinium injection through a lumbar puncture not only allows an adequate diagnosis but also helps to establish management plans. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_179_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417302PMC
April 2019
1 Read

Delayed Diagnosis and Treatment of Cerebrospinal Fluid Leakage in Current Practice.

J Craniofac Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Otolaryngology-Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

As delayed diagnosis and treatment of cerebrospinal fluid (CSF) leakage are common in current practice, this study was performed to determine associated factors and discuss appropriate strategies to deal with these problems. A retrospective analysis of all cases of CSF leakage in our hospital from 2007 to 2018, including 41 patients with CSF rhinorrhea and 5 with CSF otorhinorrhea, was performed. Symptoms, associated diseases, misdiagnoses, history of skull base repair surgical, previous medical costs, and number of hospital visits before visiting our institution were reviewed. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005402DOI Listing
March 2019
2 Reads

The 3f (Fat, Flap & Flash) Technique For Skull Base Reconstruction After Endoscopic Endonasal Suprasellar Approach.

World Neurosurg 2019 Mar 20. Epub 2019 Mar 20.

Division of Neurosurgery, Università degli Studi di Napoli "Federico II", Naples, Italy.

Background: Endoscopic endonasal surgery is a rapidly evolving field that offers the possibility of treating a wide variety of skull base lesions. Reconstruction of the osteo-dural defect is of utmost importance, as an effective and watertight closure is mandatory. Over the years, various techniques and materials have been adopted in an effort of providing a resilient and reliable method of closure. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.125DOI Listing
March 2019
1 Read

A Rare Case of Spontaneous Recurrent Cerebrospinal Fluid Rhinorrhea.

Cureus 2019 Jan 14;11(1):e3883. Epub 2019 Jan 14.

Radiology, Florida Hospital, Orlando, USA.

Cerebrospinal fluid (CSF) rhinorrhea is most commonly associated with preceding trauma. Spontaneous CSF rhinorrhea has rarely been documented. Clinical, biochemical, and radiological examination are necessary to establish its diagnosis. Read More

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http://dx.doi.org/10.7759/cureus.3883DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420334PMC
January 2019
3 Reads

Spontaneous cerebrospinal fluid rhinorrhea associated with an incidental pituitary adenoma.

Br J Neurosurg 2019 Mar 20:1-4. Epub 2019 Mar 20.

e Department of Neurosurgery, Renji Hospital, School of Medicine , Shanghai Jiao Tong University , District Pudong , China.

Spontaneous cerebrospinal fluid (CSF) rhinorrhea presenting as the sole symptom of untreated pituitary adenoma is rare, with only 15 cases having been reported in the English literature. All these untreated pituitary adenoma contributing to spontaneous CSF rhinorrhea were diagnosed by the preoperative neuroimaging. Herein, we described an extraordinary rare patient with a pituitary microadenoma, presenting with spontaneous CSF rhinorrhea as the sole symptom. Read More

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http://dx.doi.org/10.1080/02688697.2019.1587384DOI Listing
March 2019
2 Reads

IDIOPATHIC INTRACRANIAL HYPERTENSION: A UNIQUE ETIOLOGY OF PSEUDOMENINGOCELE AND RESULTANT EMPTY SELLA AND CSF RHINORRHEA.

Endocr Pract 2019 Mar 13. Epub 2019 Mar 13.

Division of Endocrinology, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas.

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http://dx.doi.org/10.4158/EP-2019-0096DOI Listing
March 2019
1 Read

Cerebrospinal fluid rhinorrhea from the lateral recess of sphenoid sinus: More to it than meets the eye.

Neurol India 2019 Jan-Feb;67(1):201-206

Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

Background: Cerebrospinal fluid (CSF) leak from the lateral recess of the sphenoid sinus is rare when compared to leaks from other sites. The extended endonasal approach along with a transpterygoid extension provides adequate exposure for repair of these defects.

Materials And Methods: We retrospectively analyzed a series of seven patients who underwent eight transpterygoid approaches for repair of the CSF leak from the lateral recess of the sphenoid sinus. Read More

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http://dx.doi.org/10.4103/0028-3886.253634DOI Listing
March 2019
1 Read

Methods of olfactory ensheathing cell harvesting from the olfactory mucosa in dogs.

PLoS One 2019 6;14(3):e0213252. Epub 2019 Mar 6.

The Royal Veterinary College, University of London, Hawkshead Lane, Hatfield, Hertfordshire, United Kingdom & CVS referrals, Bristol Veterinary Specialists at Highcroft, Bristol, United Kingdom.

Olfactory ensheathing cells are thought to support regeneration and remyelination of damaged axons when transplanted into spinal cord injuries. Following transplantation, improved locomotion has been detected in many laboratory models and in dogs with naturally-occurring spinal cord injury; safety trials in humans have also been completed. For widespread clinical implementation, it will be necessary to derive large numbers of these cells from an accessible and, preferably, autologous, source making olfactory mucosa a good candidate. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213252PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402693PMC
March 2019
3 Reads

Idiopathic intracranial hypertension presenting as bilateral spontaneous lateral intrasphenoidal and transethmoidal meningoceles: a case report and review of the literature.

J Med Case Rep 2019 Mar 5;13(1):62. Epub 2019 Mar 5.

Division of Neurosurgery, Department of Surgery, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Room C2218, Ottawa, Ontario, K1Y 4E9, Canada.

Background: Basal meningoceles are rare herniations of the meninges that tend to present unilaterally with cerebrospinal fluid rhinorrhea. Growing evidence suggests that intracranial hypertension contributes considerably to the formation of spontaneous basal meningoceles.

Case Presentation: A 50-year-old man of Middle East ethnicity presented with a 16-week history of cerebrospinal fluid rhinorrhea, short-term memory loss, and slight decline in cognitive function. Read More

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http://dx.doi.org/10.1186/s13256-018-1959-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399895PMC
March 2019
2 Reads

Application of a Minimally Invasive Liposuction Technique for Harvesting Fat during Transsphenoidal Surgery: A Technical Note.

Neurol Med Chir (Tokyo) 2019 Feb 28. Epub 2019 Feb 28.

Department of Neurosurgery, Kobe University Graduate School of Medicine.

Secure reconstruction in transsphenoidal surgery (TSS) is important for the prevention of the major and serious complication of postoperative cerebrospinal fluid (CSF) leak. Although abdominal fat can be safely and effectively used as a reconstruction tissue, harvesting it from the abdominal wall is traumatic and invasive, resulting in cosmetic problems. In this report, we present a method of harvesting abdominal fat using a minimally invasive liposuction technique to avoid cosmetic issues. Read More

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http://dx.doi.org/10.2176/nmc.tn.2018-0270DOI Listing
February 2019

Detection of CSF Leaks: Is There a Radiologic Standard of Care? A Systematic Review Detection of CSF Leaks: A Systematic Review.

World Neurosurg 2019 Feb 21. Epub 2019 Feb 21.

Icahn School of Medicine at Mount Sinai, Department of Otolaryngology, New York, New York, USA. Electronic address:

Introduction: Diagnosis of cerebral spinal fluid (CSF) leaks traditionally involves laboratory testing of markers and appropriate imaging. Surgical localization can be difficult, and the inability to accurately localize skull base defects leads to increased rates of repair failure and complications. Many imaging techniques localizing and identifying CSF leaks have been proposed. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.299DOI Listing
February 2019
1 Read

Trans-eyebrow supraorbital keyhole approach to tuberculum sellae meningiomas: a series of 30 cases with long-term visual outcomes and recurrence rates.

J Neurooncol 2019 May 22;142(3):545-555. Epub 2019 Feb 22.

Departments of Neurosurgery, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tian he Road, Guangzhou, 510630, Guangdong, China.

Background: Approach selection paradigm for tuberculum sellae meningiomas (TSMs) is still a point of discussion. The trans-eyebrow supraorbital keyhole approach (TSKA) is a minimally invasive transcranial approach and has been used for the treatment of TSMs during recent years. In this study, we presented a series of 30 cases of TSMs treated via TSKA with a long-term follow-up. Read More

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http://dx.doi.org/10.1007/s11060-019-03128-9DOI Listing
May 2019
1 Read

Temporal bone meningoencephaloceles and cerebrospinal fluid leaks: experience in a tertiary care hospital.

J Laryngol Otol 2019 Mar 19;133(3):192-200. Epub 2019 Feb 19.

Department of Otolaryngology and Head-Neck Surgery,All India Institute of Medical Sciences,New Delhi,India.

Objective: To recount experience with cerebrospinal fluid otorrhoea and temporal bone meningoencephalocele repair in a tertiary care hospital.

Method: A retrospective review was conducted of 16 cerebrospinal fluid otorrhoea and meningoencephalic herniation patients managed surgically from 1991 to 2016.

Results: Aetiology was: congenital (n = 3), post-traumatic (n = 2), spontaneous (n = 1) or post-mastoidectomy (n = 10). Read More

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http://dx.doi.org/10.1017/S0022215119000203DOI Listing
March 2019
8 Reads

Various modifications of a vascularized nasoseptal flap for repair of extensive skull base dural defects.

J Neurosurg 2019 Feb 8:1-9. Epub 2019 Feb 8.

OBJECTIVEEndonasal surgery of the skull base requires watertight reconstruction of the skull base that can seal the dural defect to prevent postoperative CSF rhinorrhea and consequent intracranial complications. Although the incidence of CSF leakage has decreased significantly since the introduction in 2006 of the vascularized nasoseptal flap (the Hadad-Bassagasteguy flap), reconstruction of extensive skull base dural defects remains challenging. The authors describe a new, modified vascularized nasoseptal flap for reconstruction of extensive skull base dural defects. Read More

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http://dx.doi.org/10.3171/2018.10.JNS181556DOI Listing
February 2019
1 Read

[Clinical analysis of endoscopic endonasal approach for removal of sellar tumors].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Nov;32(22):1735-1739

Department of Radiology, Tianjin Huanhu Hospita.

To investigate the safety and efficacy of endoscopic endonasal approach for removal of sellar tumors. The clinical data of 18 patients with sellar tumors undergoing endoscopic endonasal surgery were analyzed retrospectively. This series consisted of ten pituitary adenomas, five craniopharyngiomas, three meningiomas. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.22.013DOI Listing
November 2018
3 Reads

[Comparison and analysis of spontaneous cerebrospinal fluid rhinorrhea with and without empty sella patients].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Nov;32(22):1707-1710S

Department of Otolaryngology Head and Neck Surgery,Anhui Medical University,Anhui Provincial Hospital,Hefei,230001,China.

To investigate the clinical characteristics and the diagnosis and treatment of spontaneous cerebrospinal fluid rhinorrhea with and without empty sella. Retrospective analysis clinical data of 51 patients with spontaneous cerebrospinal fluid rhinorrhea,comparison of non-empty sella syndrome of spontaneous cerebrospinal fluid rhinorrhea with empty sella syndrome of spontaneous cerebrospinal fluid rhinorrhea patients with general characteristics,localization and treatment effect.The incidence of spontaneous cerebrospinal fluid rhinorrhea patients was higher in females than in males,BMI index was higher than the normal value. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.22.006DOI Listing
November 2018
4 Reads

Cerebrospinal fluid otorrhea secondary to congenital inner ear dysplasia: diagnosis and management of 18 cases.

J Zhejiang Univ Sci B 2019 Feb.;20(2):156-163

ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200030, China.

Objective: To describe the characteristics of the clinical presentation, diagnosis, surgical methods, and outcomes of patients with otogenic cerebrospinal fluid (CSF) leakage secondary to congenital inner ear dysplasia.

Methods: A retrospective review was performed of 18 patients with otogenic CSF leakage secondary to inner ear dysplasia who underwent surgery in our group from 2007 to 2017 and had a follow-up of at least 4 months. The average length of follow-up was three years. Read More

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http://dx.doi.org/10.1631/jzus.B1800224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380995PMC
January 2019
14 Reads
1.278 Impact Factor

Supraorbital Keyhole Approach: Lessons Learned from 106 Operative Cases.

World Neurosurg 2019 Jan 17. Epub 2019 Jan 17.

Department of Neurosurgery, School of Medicine, Ankara University, Ibn-i Sina Hospital, Ankara, Turkey.

Objective: The supraorbital keyhole approach through an eyebrow incision has been a potentially less invasive approach as an alternative to the standard pterional craniotomy. We aimed to review procedures for anterior and middle cranial fossa lesions and identify lessons learned from addressing various pathologies through this approach.

Methods: We retrospectively reviewed 106 consecutive patients who underwent this approach. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.188DOI Listing
January 2019
2 Reads

Endoscopic Endonasal Approaches to Craniovertebral Junction Pathologies: A Single-Center Experience.

Turk Neurosurg 2018 Aug 27. Epub 2018 Aug 27.

Ankara University School of Medicine, Ibni Sina Hospital.

Aim: The craniovertebral junction is a remarkable anatomical area with unique anatomical and functional relationships, which present difficult challenges for surgeons. The traditional approach to addressing pathologies in this area is microscopic transoral resection with posterior fixation; however, endoscopic endonasal clivus and odontoid surgeries now currently gaining interest as alternative approaches. We reviewed our experience of using the endoscopic endonasal approach at our institution. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.23781-18.2DOI Listing
August 2018
2 Reads

Clipping Technique for the Repair of the Intraoperative Cerebrospinal Fluid Leakage during Transsphenoidal Pituitary Tumor Surgery.

Oper Neurosurg (Hagerstown) 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: During transsphenoidal surgery (TSS) for a pituitary adenoma with a large suprasellar extension, cerebrospinal fluid (CSF) leakage commonly develops from a defect in the arachnoid recess or the arachnoid membrane.

Objective: To evaluate the usefulness of a newly developed clipping technique for the repair of intraoperative CSF leakage.

Methods: Between September 2012 and November 2016, 698 patients with pituitary adenoma were operated on with TSS. Read More

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http://dx.doi.org/10.1093/ons/opy408DOI Listing
January 2019
2 Reads

Cerebrospinal Fluid Rhinorrhea due to Transethmoidal Encephalocele Following Occipital Meningioma Resection in an Adult: A Case Report.

J Neurol Surg A Cent Eur Neurosurg 2019 Mar 24;80(2):138-140. Epub 2018 Dec 24.

Department of Neurosurgery, J. E. Purkyne University, Masaryk Hospital, Usti nad Labem, Czech Republic.

Transethmoidal encephalocele is a rare condition in adult patients. It is usually diagnosed during childhood by cerebrospinal fluid (CSF) rhinorrhea, meningitis, a nasal mass, or seizures. We present a case of an adult woman with CSF rhinorrhea following resection of an occipital meningioma. Read More

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http://dx.doi.org/10.1055/s-0038-1676621DOI Listing
March 2019
2 Reads

Repair of a Transclival Meningocele Through a Transoral Approach: Case Report and Literature Review.

World Neurosurg 2019 Mar 19;123:259-264. Epub 2018 Dec 19.

Neurosurgical Department, "Agia Sophia" Children's Hospital, Athens, Greece.

Background: Transclival meningoceles and related primary spontaneous cerebrospinal fluid leaks at the clivus are extremely rare lesions, with only a few cases reported in the literature.

Case Description: An infant presented with nasal airway obstruction and meningitis secondary to cerebrospinal fluid leak from a transclival meningocele. The radiologic investigation and surgical repair of the lesion are reported, along with intraoperative findings. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.025DOI Listing
March 2019
2 Reads

The application of nasoseptal "rescue" flap technique in endoscopic transsphenoidal pituitary adenoma resection.

Neurosurg Rev 2018 Dec 11. Epub 2018 Dec 11.

Department of Neurosurgery, Qilu Hospital, Shandong University, 107 Wenhua Western Rd., Jinan, 250012, Shandong, China.

To explore the reliability and superiority of nasoseptal "rescue" flap technique in neuroendoscopic transnasal pituitary adenoma resection. Retrospective clinical analysis of 113 cases of endoscopic transsphenoid pituitary adenoma resection with the application of nasoseptal "rescue" flap technology. The reliability and the superiority of the technique were evaluated according to the duration of nasal cavity and sphenoid sinus stage, the incidence of postoperative anosmia, and cerebrospinal rhinorrhea. Read More

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http://dx.doi.org/10.1007/s10143-018-1048-8DOI Listing
December 2018
13 Reads
1.861 Impact Factor

Cerebrospinal fluid leakage after posterior fossa surgery may impair brain metabolite clearance.

Neurochirurgie 2018 Dec 24;64(6):422-424. Epub 2018 Oct 24.

Inserm U1237 'Physiopathology & Imaging of Neurological Disorders', university of Caen Normandy, 14000 Caen, France; Department of neurosurgery, Caen university hospital, avenue de la Côte de Nacre, 14000 Caen, France; Université Caen Normandie, medical school, Caen, France. Electronic address:

The discovery of the important role of cerebrospinal fluid (CSF) drainage of cerebral metabolite waste, known as the glymphatic system, has changed our view of brain waste clearance. We recently performed experiments to evaluate the glymphatic system in non-human primates (NHP). Here, we report the case of an NHP with iatrogenic CSF leakage. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00283770183031
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http://dx.doi.org/10.1016/j.neuchi.2018.08.003DOI Listing
December 2018
24 Reads

Cerebrospinal fluid rhinorrhea in a bilateral frontal decompressive craniectomy patient caused by strenuous activity: A case report.

Medicine (Baltimore) 2018 Nov;97(47):e13189

Department of Neurosurgery.

Rationale: Iatrogenic cerebrospinal fluid (CSF) rhinorrhea in a bilateral frontal decompressive craniectomy patient triggered by strenuous sport is rare. To the best of our knowledge, no similar case has yet been reported.

Patient Concerns: Herein, we report a case of CSF rhinorrhea in a 37-year-old man. Read More

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http://dx.doi.org/10.1097/MD.0000000000013189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392508PMC
November 2018
15 Reads

Outcome of Posttraumatic Delayed Intracerebral Tension Pneumatocele: Prospective Study of Four Cases: Single Institutional Experience.

Asian J Neurosurg 2018 Oct-Dec;13(4):1087-1095

Department of Neurosurgery, R. N. T. Medical College, Udaipur, Rajasthan, India.

Aim: Delayed intracerebral tension pneumatocele (DITP) is an uncommon cause of raised intracranial pressure following trauma. However, it can cause herniation syndrome due to a sudden increase in intracranial pressure which requires emergent intervention. Pneumocephalus is a complication of head injury in 3. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_226_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208253PMC
November 2018
2 Reads

Preoperative management of spontaneous cerebrospinal fluid rhinorrhea with acetazolamide.

Int Forum Allergy Rhinol 2019 Mar 15;9(3):265-269. Epub 2018 Nov 15.

University of Virginia School of Medicine, Charlottesville, VA.

Background: Spontaneous cerebrospinal fluid (CSF) rhinorrhea has been associated with elevated intracranial pressure (ICP). As such, ICP reducing measures are commonly employed to optimize repair. Although postoperative acetazolamide use has been described, no data currently exists on the potential for preoperative use. Read More

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http://doi.wiley.com/10.1002/alr.22245
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http://dx.doi.org/10.1002/alr.22245DOI Listing
March 2019
20 Reads

[Liquorrhea after removal of fourth ventricle tumors in children. Retrospective analysis of a series of 211 primary surgeries].

Zh Vopr Neirokhir Im N N Burdenko 2018;82(5):39-47

Burdenko Neurosurgical Institute, Moscow, Russia.

Wound liquorrhea is a serious and dangerous complication developing after neurosurgical interventions. The highest risk group includes patients operated on using approaches to the skull base. In pediatric neurosurgery, approaches to the posterior cranial fossa are some of the most common ones, with wound liquorrhea amounting to 33%. Read More

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http://www.mediasphera.ru/issues/zhurnal-voprosy-nejrokhirur
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http://dx.doi.org/10.17116/neiro20188205139DOI Listing
April 2019
14 Reads

Endoscopic transnasal repair of two cases of spontaneous cerebrospinal fluid fistula in the foramen rotundum.

J Clin Neurosci 2019 Jan 3;59:350-352. Epub 2018 Nov 3.

Department of Ear Nose and Throat, Royal Adelaide Hospital, Port Road, Adelaide, SA 5000, Australia.

We report two female patients aged 16 and 33 who presented with spontaneous cerebrospinal fluid (CSF) rhinorrhoea. Beta-2 transferrin was positive in both cases. Initial high-resolution CT showed fluid in the maxillary sinus but no obvious bony defect. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183066
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http://dx.doi.org/10.1016/j.jocn.2018.10.020DOI Listing
January 2019
18 Reads

Trans-eyebrow supraorbital keyhole approach in suprasellar and third ventricular craniopharyngioma surgery: the experience of 27 cases and a literature review.

J Neurooncol 2019 Jan 3;141(2):363-371. Epub 2018 Nov 3.

Department of Neurosurgery, Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Road, Guangzhou, 510630, China.

Background: The trans-eyebrow supraorbital keyhole approach, a minimal transcranial approach, has been widely used in different types of surgery for sellar and parasellar lesions. In this study, we investigated the outcome of this approach in the surgical treatment of suprasellar and third ventricular craniopharyngioma.

Methods: Twenty-seven patients with suprasellar and third ventricular craniopharyngioma underwent surgery via a supraorbital approach between June 2007 and June 2018. Read More

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http://link.springer.com/10.1007/s11060-018-03041-7
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http://dx.doi.org/10.1007/s11060-018-03041-7DOI Listing
January 2019
21 Reads

Endoscopic Endonasal Repair of a Persistent Craniopharyngeal Canal and Sphenoid Meningoencephalocele: Case Report and Review of Literature.

World Neurosurg 2019 Feb 1;122:196-202. Epub 2018 Nov 1.

Department of Pathology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

Background: A persistent craniopharyngeal canal (PCC) is a rare cause of cerebrospinal fluid rhinorrhea in children. The condition often coexists with other midline facial defects, such as cleft palate. Children with PCC may also have pituitary dysfunction or neoplasms, such as craniopharyngiomas within the canal. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183243
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http://dx.doi.org/10.1016/j.wneu.2018.10.138DOI Listing
February 2019
17 Reads

[CSF rhinorrhea is an important differential diagnosis for patients with long-lasting runny nose].

Lakartidningen 2018 10 26;115. Epub 2018 Oct 26.

Neurokirurgen - Göteborg, Sweden Neurokirurgen - Göteborg, Sweden.

CSF rhinorrhea is a rare cause of runny nose that should be considered as a differential diagnosis when dealing with patients with long-lasting problems. Symptoms that should raise the suspicion of CSF rhinorrhea include long-lasting, unilateral, clear, watery discharge that does not respond to treatment with antihistamines, vasoconstrictors or nasal steroids. Beta-trace protein or beta-2 transferrin assay is the best laboratory test for diagnosing CSF rhinorrhea. Read More

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October 2018
15 Reads

Success Rate and Complications of Cerebrospinal Fluid Rhinorrhea Treated With a Transcranial Approach.

J Craniofac Surg 2018 Nov;29(8):e808-e812

Department of Neurosurgery, Dokuz Eylul University School of Medicine, Izmir.

The aim of this study was to evaluate the clinical outcomes of cerebrospinal fluid (CSF) rhinorrhea in patients treated with transcranial surgery. Here, we retrospectively reviewed 23 patients with CSF rhinorrhea between 2008 and 2015 at our university hospital. Nine (39. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004845DOI Listing
November 2018
9 Reads

[Clinical analysis of brain abscess after endoscopic repairment of cerebrospinal fluid rhinorrhea].

Authors:
H Y Li H X Yu G Liu

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;53(9):650-654

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

To explore the clinical characteristics of the complication of brain abscesses after cerebrospinal fluid rhinorrhea repairment. A retrospective analysis was conducted on 149 patients undergone endoscopic repairment of cerebrospinal fluid rhinorrhea from October 2007 to October 2017 in Department of Otorhinolaryngology Head and Neck Surgery, Tianjin HuanHu Hospital. The clinical characteristics and treating methods of 3 brain abscess cases were analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2018.09.003DOI Listing
September 2018
5 Reads

Nonmissile Anterior Skull-Base Penetrating Brain Injury: Experience with 22 Patients.

Asian J Neurosurg 2018 Jul-Sep;13(3):742-748

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Background: Nonmissile anterior skull-base penetrating brain injuries (NASBPBIs) have specific characteristic features that are different from missile injuries. Our study presents our experiences on the characteristic features as well as management of NASBPBI.

Materials And Methods: We retrospectively reviewed 22 consecutive patients with NASBPBI managed at our institute during a 13-year period. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_36_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159019PMC
October 2018
6 Reads

Surgical Parameters for Minimally Invasive Trans-Eustachian Tube CSF Leak Repair: A Cadaveric Study and Literature Review.

World Neurosurg 2019 Feb 26;122:e121-e129. Epub 2018 Sep 26.

Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon, USA. Electronic address:

Background: Cerebrospinal fluid rhinorrhea from a lateral skull base defect refractory to spontaneous healing and/or conservative management is most commonly managed via open surgery. Approach for repair is dictated by location of the defect, which may require surgical exploration. The final common pathway is the eustachian tube (ET). Read More

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http://dx.doi.org/10.1016/j.wneu.2018.09.123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380183PMC
February 2019
28 Reads

Clinical and Economic Impact of Time From Admission for CSF Rhinorrhea to Surgical Repair.

Laryngoscope 2019 Mar 7;129(3):539-543. Epub 2018 Sep 7.

Syracuse Otolaryngology, Syracuse, New York, U.S.A.

Background: If conservative management of CSF leak is unsuccessful, surgical repair is indicated for the prevention of severe complications such as meningitis. This study investigated the influence of surgical timing on clinical and economic outcomes.

Methods: Retrospective review of the National Inpatient Sample (2012) and the Nationwide Inpatient Sample (2002-2011) for nonelective admissions with a principal diagnosis of CSF rhinorrhea treated with surgical repair of the meninges. Read More

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http://dx.doi.org/10.1002/lary.27300DOI Listing
March 2019
12 Reads

Oropharyngeal CSF Leak Secondary to Anterior Cervical Discectomy and Fusion.

Case Rep Otolaryngol 2018 31;2018:7629184. Epub 2018 Jul 31.

Department of Otolaryngology Head Neck Surgery, University of Texas Health at San Antonio, 7703 Floyd Curl Dr, MC 7777, San Antonio, TX 78229, USA.

We present a case of an oropharyngeal cerebrospinal fluid (CSF) fistula in a patient that presented with headache, rhinorrhea, and pneumocephalus years after an anterior cervical discectomy and fusion. Imaging suggested a defect in the fovea ethmoidalis, but endoscopic surgery revealed the defect in the oropharynx. A second procedure was performed to remove the spinal hardware and repair the leak. Read More

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http://downloads.hindawi.com/journals/criot/2018/7629184.pdf
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https://www.researchgate.net/publication/313328835_A_rare_ca
Web Search
https://www.hindawi.com/journals/criot/2018/7629184/
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http://dx.doi.org/10.1155/2018/7629184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091331PMC
July 2018
24 Reads

Visualized ethmoid roof cerebrospinal fluid leak during frontal balloon sinuplasty.

Ear Nose Throat J 2018 Aug;97(8):E34-E38

Department of Otolaryngology, Beaumont Hospital Farmington Hills, 28050 Grand River Ave, Farmington Hills, MI 48336, USA.

Balloon sinus dilation (BSD) is generally accepted as a safe alternative to traditional sinus surgery. It is a unique technique designed to potentially minimize complications associated with traditional functional endoscopic sinus surgery (FESS). We present a case in which a 65-year-old man experienced a cerebrospinal fluid (CSF) leak in the ethmoid roof that was visualized instantly after balloon dilation in a revision sinus surgery. Read More

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http://dx.doi.org/10.1177/014556131809700807DOI Listing
August 2018
4 Reads

Medically induced CSF rhinorrhea following treatment of macroprolactinoma: case series and literature review.

Pituitary 2018 Dec;21(6):561-570

Saint Alphonsus Neuroscience Institute - Neurosurgery, Boise, ID, USA.

Purpose: Although several reports have addressed cerebrospinal fluid (CSF) rhinorrhea following dopamine agonist (DA) therapy of macroprolactinomas, further study is warranted for this relatively uncommon entity. Toward this aim, our retrospective series and review of literature further clarifies recommendations in treatment of this rare problem.

Methods: We retrospectively reviewed all macroprolactinoma cases in our hospital for a 15-year period. Read More

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http://dx.doi.org/10.1007/s11102-018-0907-1DOI Listing
December 2018
26 Reads
2.222 Impact Factor

An Endoscopic Endonasal Repair of Spontaneous Skull Base Cerebrospinal Fluid Leak.

S D Med 2018 Aug;71(8):342-344

University of South Dakota Sanford School of Medicine.

Idiopathic intracranial hypertension is a disease of elevated intracranial pressure that can lead to spontaneous cerebrospinal fluid leak at the skull base. We present a case of CSF leak in a young female with undiagnosed idiopathic intracranial hypertension that presented as clear rhinorrhea. The defect in the skull base was visualized with computerized tomography and repaired endoscopically with adjuvant placement of a lumboperitoneal shunt. Read More

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August 2018
24 Reads

Cerebrospinal Fluid Leak in Juvenile Nasopharyngeal Angiofibroma-Rare Sequelae of Flutamide-Induced Tumor Shrinkage.

World Neurosurg 2018 Dec 9;120:78-81. Epub 2018 Aug 9.

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Background: Nonsteroidal androgen receptor blockers like flutamide have been described as an adjuvant treatment for preoperative shrinkage of extensive juvenile nasopharyngeal angiofibroma. We present a case of cerebrospinal fluid (CSF) leak due to flutamide-induced tumor shrinkage.

Case Report: A 15-year-old male with a prior diagnosis of juvenile nasopharyngeal angiofibroma stage IIIB on preoperative flutamide for 3. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.07.288DOI Listing
December 2018
9 Reads

Technique for reconstruction of large clival defects through an endoscopic-assisted tunneled retropharyngeal approach.

Int Forum Allergy Rhinol 2018 12 2;8(12):1454-1458. Epub 2018 Aug 2.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Reconstruction of the clivus and posterior cranial base defects following endoscopic skull-base surgery can be particularly challenging. Commonly, defects in this region are repaired with pedicled mucoperichondrial flaps from the sinonasal cavity. Complex and large defects often require regional or free flaps, particularly when intranasal flaps have been exhausted. Read More

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http://doi.wiley.com/10.1002/alr.22187
Publisher Site
http://dx.doi.org/10.1002/alr.22187DOI Listing
December 2018
23 Reads

Analysis and Clinical Importance of Skull Base Fractures in Adult Patients with Traumatic Brain Injury.

J Neurosci Rural Pract 2018 Jul-Sep;9(3):370-375

Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.

Aims And Objectives: Basal skull fracture (BSF) is rare in head injury (HI) patients and occasionally goes unnoticed which may lead to cerebrospinal fluid (CSF) fistula. With changing trends in HI, there is a need to reassess incidence and pattern of BSF pattern, CSF leak, meningitis, and management protocol, especially in this part of the world where detailed literature is lacking.

Subjects And Methods: We closely followed adult patients admitted with BSF in our institute between January 2013 and December 2014. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_38_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050782PMC
August 2018
12 Reads

Perioperative Course of Transsphenoidal Pituitary Surgery through Endoscopic versus Microscopic Approach: Interim Concerns for Neurosurgical Anesthesiology.

J Neurosci Rural Pract 2018 Jul-Sep;9(3):336-343

Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia.

Background: Endonasal endoscopic approach for transsphenoidal excision of pituitary adenoma has undergone remarkable evolution in the last two decades. It is considered less invasive and less stressful, with results comparable to the previous "gold standard" technique of microscopic transsphenoidal excision of pituitary adenoma. The aim of this study was to compare the various perioperative anesthetic and surgical factors which differ in the two approaches (endoscopic vs. Read More

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http://dx.doi.org/10.4103/jnrp.jnrp_22_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050790PMC
August 2018
4 Reads

Endoscopic Management of Spontaneous Cerebrospinal Fluid Fistula Caused by Clival Defect.

J Craniofac Surg 2018 Sep;29(6):e604-e606

Department of Otolaryngology and Head and Neck Surgery, Ondokuz Mayis University School of Medicine, Samsun, Turkey.

Cerebrospinal fluid (CSF) rhinorrhea is that the fluid in subarachnoid space leaks into the nasal passage in any way as a transparent discharge. Cerebrospinal fluid fistulas generally develop as secondary to trauma. Only 3% of CSF fistulas develop spontaneously. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004690DOI Listing
September 2018
25 Reads