3,360 results match your criteria CSF Rhinorrhea


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
2 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
1 Read

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
January 2019
4 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
1 Read

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
1 Read

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

J Neurol Surg A Cent Eur Neurosurg 2018 Dec 24. 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
December 2018
1 Read

Repair of a transclival meningocele through a transoral approach: Case report and literature review.

World Neurosurg 2018 Dec 19. Epub 2018 Dec 19.

Consultant Neurosurgeon and Director at Neurosurgical Department of Pediatric Hospital of Athens, 'Agia Sophia'. Postal Address: Thivon & Papadiamantopoulou St Goudi Postal Code 11527 Athens Attica Greece.

Background: Transclival meningoceles and related primary spontaneous cerebrospinal fluid leaks at the clivus are extremely rare lesions and only few of them have been reported in the literature.

Case Description: We report the case of an infant who presented with nasal airway obstruction and meningitis secondary to erebrospinal fluid leak from a transclival meningocele. The radiological investigation and surgical repair of the lesion is illustrated, along with intraoperative findings. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.025DOI Listing
December 2018
1 Read

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
8 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
15 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
November 2018
7 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
1 Read

Preoperative management of spontaneous cerebrospinal fluid rhinorrhea with acetazolamide.

Int Forum Allergy Rhinol 2018 Nov 15. 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
November 2018
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
11 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
18 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
10 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
11 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
7 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
2 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
4 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
February 2019
21 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
11 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
Web Search
https://www.researchgate.net/publication/313328835_A_rare_ca
Web Search
https://www.hindawi.com/journals/criot/2018/7629184/
Publisher Site
http://dx.doi.org/10.1155/2018/7629184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091331PMC
July 2018
19 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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August 2018
3 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
18 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
19 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
8 Reads

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

Int Forum Allergy Rhinol 2018 Dec 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
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http://dx.doi.org/10.1002/alr.22187DOI Listing
December 2018
20 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
11 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
3 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
20 Reads

Use of cyanoacrylate to prevent cerebrospinal fluid fistulas after cranial surgery.

Br J Neurosurg 2018 Oct 1;32(5):544-547. Epub 2018 Aug 1.

b Department of Pathology, Faculty of Medicine , Ahi Evran University , Kırşehir , Turkey.

Purpose: Cerebrospinal fluid (CSF) fistula is one of the most common complications encountered after cranial surgeries. In cases where CSF fistula frequently appears due to surgical technique, dural sealants are used as auxiliary preparations to prevent CSF fistula and provide convenience to the surgeon.

Materials And Methods: Data obtained from 128 number of cases where cyanoacrylate (CA) had been used for dural repair to prevent CSF fistula was evaluated, retrospectively. Read More

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http://dx.doi.org/10.1080/02688697.2018.1494265DOI Listing
October 2018
3 Reads

Ganglioglioma of the adenohypophysis mimicking pituitary adenoma: A case report and review of the literature.

Medicine (Baltimore) 2018 Jul;97(30):e11583

Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine.

Introduction: Ganglioglioma is a generally benign tumor, mostly occurring in patients <30 years old. Temporal lobe is most frequently involved. Up to now, only 3 cases were reported of ganglioglioma in the pituitary gland, all being confined to the neurohypophysis. Read More

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http://dx.doi.org/10.1097/MD.0000000000011583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078729PMC
July 2018
11 Reads

Traumatic cerebrospinal fluid leakage following septorhinoplasty.

Arch Plast Surg 2018 Jul 15;45(4):379-383. Epub 2018 Jul 15.

Department of Otolaryngology-Head and Neck Surgery, Alexandria University, Alexandria, Egypt.

Septoplasty/septorhinoplasty is a common ear, nose and throat procedure offered for those patients with deviated septum who are suffering from nasal obstruction and functional or cosmetic problems. Although it is a basic and simple procedure, it could lead to catastrophic complications including major skull base injuries which result in cerebrospinal fluid (CSF) leaks. We describe two different cases of traumatic CSF leaks following septoplasty/septorhinoplasty at two different sites. Read More

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http://dx.doi.org/10.5999/aps.2017.00913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062708PMC
July 2018
23 Reads

Recurrent Encephalopathy During Febrile Illnesses in a 6-Year-Old Boy.

Glob Pediatr Health 2018 10;5:2333794X18784203. Epub 2018 Jul 10.

Wake Forest University, Winston-Salem, NC, USA.

Acute onset of encephalopathy is often due to infections or intoxications, but a high index of suspicion should exist for metabolic or autoimmune causes particularly in recurrent cases. A 6-year-old previously healthy Caucasian male presented with confusion and somnolence. He had several days of fever, myalgia, headaches, and rhinorrhea and was influenza-A positive. Read More

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http://dx.doi.org/10.1177/2333794X18784203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041993PMC
July 2018
10 Reads

Primary Dural Closure for Retrosigmoid Approaches.

J Neurol Surg B Skull Base 2018 Aug 10;79(4):330-334. Epub 2017 Nov 10.

Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States.

 Primary closure of posterior fossa dura can be challenging, and postoperative cerebrospinal fluid (CSF) leaks continue to represent a common complication of the retrosigmoid approach. We describe a simple technique to allow for primary closure of the dura following retrosigmoid approaches. The incidence of CSF leaks using this method is reported. Read More

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http://dx.doi.org/10.1055/s-0037-1607455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6043179PMC
August 2018
3 Reads

Outcomes following transsphenoidal surgical management of incidental pituitary adenomas: a series of 52 patients over a 17-year period.

J Neurosurg 2018 May 1:1-9. Epub 2018 May 1.

1Department of Neurosurgery, Division of Endocrinology.

OBJECTIVEIncidental pituitary adenomas (IPAs) are commonly discovered during cranial imaging evaluations obtained for unrelated indications. The optimal management of IPA remains controversial. The authors investigated the outcomes and safety of the surgical treatment of IPAs at their institution. Read More

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http://dx.doi.org/10.3171/2017.11.JNS171485DOI Listing
May 2018
9 Reads

The use of dehydrated amniotic membrane allograft for augmentation of dural closure in craniotomies and endoscopic endonasal transphenoidal surgeries.

Br J Neurosurg 2018 Oct 10;32(5):516-520. Epub 2018 Jul 10.

a Department of Neurological Surgery , University of Miami Miller School of Medicine , Miami , FL , USA.

Background: Primary watertight dural closure is the preferred method of postcraniotomy dural repair. However, even when ideal technique is implemented, postoperative infection, cerebrospinal fluid (CSF) leaks, pseudomeningoceles, and dural scarring are possible complications. For this reason, materials that augment the dura's ability to create a watertight seal, prevent disease transmission, and inhibit inflammatory response are sought. Read More

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http://dx.doi.org/10.1080/02688697.2018.1490943DOI Listing
October 2018
4 Reads

Leukocyte- and platelet-rich fibrin: a new graft material in endoscopic repair of spontaneous CSF leaks.

Eur Arch Otorhinolaryngol 2018 Sep 7;275(9):2245-2252. Epub 2018 Jul 7.

Department of Otolaryngology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Background: Spontaneous CSF leak is a challenging condition, with frequent recurrences following attempted surgical closure. The selection of graft materials depends on the experience of the operating surgeon. Leukocyte- and platelet-rich fibrin (L-PRF) is a second-generation platelet concentrate that has currently invaded every surgical specialty. Read More

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http://dx.doi.org/10.1007/s00405-018-5048-7DOI Listing
September 2018
6 Reads

Just another case of bacterial meningitis… or… is it?

BMJ Case Rep 2018 Jun 29;2018. Epub 2018 Jun 29.

Neurosurgical Unit, Walton Centre, Liverpool, UK.

Non-traumatic cerebrospinal fluid (CSF) rhinorrhoea is a rare condition. We describe a case of a 62-year-old woman with pneumococcal bacterial meningitis who later was found to have CSF rhinorrhoea secondary to an eroding skull base tumour, which was proven to be pituitary macroadenoma on biopsy. She recovered well from meningitis without any neurological sequelae and underwent trans-sphenoidal surgery for tumour removal as well as dural repair. Read More

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http://dx.doi.org/10.1136/bcr-2018-225344DOI Listing
June 2018
4 Reads

Outcome of endoscopic trans-ethmosphenoid optic canal decompression for indirect traumatic optic neuropathy in children.

BMC Ophthalmol 2018 Jun 26;18(1):152. Epub 2018 Jun 26.

Department of Orbital and Oculoplastic Surgery, Eye Hospital of Wenzhou Medical University, No.270 West Xueyuan Road, Wenzhou, Zhejiang, People's Republic of China.

Background: To evaluate the safety and outcomes of endoscopic trans-ethmosphenoid optic canal decompression (ETOCD) for children with indirect traumatic optic neuropathy (ITON).

Methods: From July 1st, 2008 to July 1st, 2015, 62 children diagnosed with ITON who underwent ETOCD were reviewed. Main outcome measure was improvement in visual acuity after treatment. Read More

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http://dx.doi.org/10.1186/s12886-018-0792-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020208PMC
June 2018
23 Reads

Petrous Apex Pneumatization: Influence on Postoperative Cerebellopontine Angle Tumor Cerebrospinal Fluid Fistula.

Ann Otol Rhinol Laryngol 2018 Sep 21;127(9):604-607. Epub 2018 Jun 21.

1 University of Kansas Department of Otolaryngology-Head and Neck Surgery, Kansas City, Kansas, USA.

Objective: Multiple investigators have sought to identify risk factors for cerebrospinal fluid (CSF) leak following cerebellopontine angle (CPA) tumor resection. We evaluated whether pneumatization of the petrous apex (PA) is a risk factor for CSF fistula.

Method: We conducted a retrospective chart review at 2 major tertiary academic institutions undergoing CPA tumor resection and analyzed their respective head or temporal computed tomography (CT) scans if available. Read More

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http://dx.doi.org/10.1177/0003489418781934DOI Listing
September 2018
15 Reads
1.054 Impact Factor

Cerebrospinal fluid rhinorrhea and otorrhea: A multimodality imaging approach.

Diagn Interv Imaging 2019 Jan 15;100(1):3-15. Epub 2018 Jun 15.

Department of Radiodiagnosis, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, 689101 Kerala, India.

Cerebrospinal fluid (CSF) leaks are extracranial egress of CSF into the adjacent paranasal sinus or tympanomastoid cavity due to an osteodural defect involving skull base. It can be due to a multitude of causes including accidental or iatrogenic trauma, congenital malformations and spontaneous leaks. Accurate localization of the site of the leak, underlying causes and appropriate therapy is necessary to avoid associated complications. Read More

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http://dx.doi.org/10.1016/j.diii.2018.05.003DOI Listing
January 2019
10 Reads

Recurrent meningitis caused by idiopathic cerebrospinal fluid rhinorrhoea from the sphenoid sinus.

BMJ Case Rep 2018 Jun 11;2018. Epub 2018 Jun 11.

Department of Otorhinolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, Japan.

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http://dx.doi.org/10.1136/bcr-2017-222296DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011432PMC
June 2018
2 Reads

Increased Hospital Surgical Volume Reduces Rate of 30- and 90-Day Readmission After Acoustic Neuroma Surgery.

Neurosurgery 2019 Mar;84(3):726-732

Department of Neurological Surgery, University of Southern California, Los Angeles, California.

Background: Hospital readmissions are commonly linked to elevated health care costs, with significant financial incentive introduced by the Affordable Care Act to reduce readmissions.

Objective: To study the association between patient, hospital, and payer factors with national rate of readmission in acoustic neuroma surgery.

Methods: All adult inpatients undergoing surgery for acoustic neuroma in the newly introduced Nationwide Readmissions Database from 2013 to 2014 were included. Read More

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http://dx.doi.org/10.1093/neuros/nyy187DOI Listing
March 2019
3 Reads

Surgical Outcomes and Postoperative Management in Spontaneous Cerebrospinal Fluid Rhinorrhea.

J Neurol Surg B Skull Base 2018 Apr 4;79(2):193-199. Epub 2017 Sep 4.

Department of Otorhinolaryngology - Head and Neck Surgery and Center for Skull Base and Pituitary Surgery, Rush University Medical Center, Chicago, Illinois, United States.

 The etiology of spontaneous cerebrospinal fluid (CSF) rhinorrhea remains unknown, though emerging evidence suggests that this likely represents a variant of idiopathic intracranial hypertension. Long-term success rates for repair and postoperative management strategies remain variable.  Retrospective review of patients undergoing surgical management of spontaneous CSF rhinorrhea was conducted over a 5-year period. Read More

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http://dx.doi.org/10.1055/s-0037-1606306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5978852PMC
April 2018
16 Reads

Utility of magnetic resonance cisternography with intrathecal gadolinium in detection of cerebrospinal fluid fistula associated with Mondini dysplasia in a patient with recurrent meningitis: Case report and literature review.

Surg Neurol Int 2018 26;9:92. Epub 2018 Apr 26.

Department of Neurosurgery, Tecnologico de Monterrey, Monterrey, Nuevo León, México.

Background: The intrathecal contrast-enhanced magnetic resonance cisternography (MRC) is a diagnostic method that has been proven effective in selected patients with various disorders of the cerebrospinal system, including the detection of cerebrospinal fluid (CSF) leaks. The Mondini dysplasia is a malformation of the inner ear characterized by an incomplete cochlear development. The cerebrospinal fistula associated with Mondini dysplasia usually occurs in the first 5-10 years. Read More

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http://dx.doi.org/10.4103/sni.sni_449_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5938894PMC
April 2018
5 Reads

Anterior Skull Base Reconstruction: Does Fat Preparation Matter?

J Neurol Surg Rep 2018 Apr 11;79(2):e31-e35. Epub 2018 May 11.

Department of Otolaryngology, Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States.

 This article aims (1) to determine whether there is any difference in cerebrospinal fluid (CSF) leak rate after anterior skull base autologous fat reconstruction based on how the fat is prepared, and (2) to measure impact on surgical times by reconstruction type.  Translational animal model surgical technique 3-arm trial, comparing two different methods of autologous fat skull base reconstruction versus a nonreconstructed control group.  Animal study. Read More

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http://dx.doi.org/10.1055/s-0038-1645886DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5948101PMC
April 2018
8 Reads

[The surgical management of nasal skull base schwannoma under endonasal endoscope: a retrospective review of 52 cases].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Apr;53(4):257-262

Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai 200031, China.

To discuss the surgical technique and outcome of nasal skull base schwannoma treated under endonasal endoscope. Fifty-two patients with nasal skull base nonvestibular schwannoma were treated under endonasal endoscope from May 2006 to June 2017 in Shanghai E&ENT Hospital. Of the patients, there were 21 men and 31 women. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2018.04.004DOI Listing
April 2018
8 Reads