2,250 results match your criteria Cerebrospinal Fluid Leak Imaging


Intracranial Hypotension and Cerebrospinal Fluid Leak.

Neuroimaging Clin N Am 2019 May 21;29(2):213-226. Epub 2019 Feb 21.

Cedars-Sinai Medical Center, 8700 Beverly Boulevard, South Tower, Suite 8517, Los Angeles, CA 90048, USA. Electronic address:

Review of the clinical presentation, imaging findings, and management of headache secondary to intracranial hypotension. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10525149193000
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http://dx.doi.org/10.1016/j.nic.2019.01.002DOI Listing
May 2019
5 Reads

Anterior skull base reconstruction after tumour resection using the posterior wall of the frontal sinus.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Mar 20. Epub 2019 Mar 20.

Service de neurochirurgie, CHU Maison Blanche, 45, rue Cognacq-Jay, 51100 Reims, France.

Introduction: The authors describe their experience of surgical closure of the anterior skull base after tumour resection, using the posterior wall of the frontal sinus.

Material And Method: The authors describe their anterior skull base closure technique performed in three patients after tumour resection. Tumour resection via a transglabellar approach resulted in an anterior skull base defect. Read More

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http://dx.doi.org/10.1016/j.anorl.2019.02.016DOI 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

A Review of Spontaneous Intracranial Hypotension.

Curr Neurol Neurosci Rep 2019 Mar 19;19(5):22. Epub 2019 Mar 19.

Department of Neurology, Medstar Georgetown Headache Center, Medstar Georgetown University Hospital, 3800 Reservoir Road NW 7PHC, Washington, DC, 20007, USA.

Purpose Of Review: Spontaneous intracranial hypotension (SIH) is an underdiagnosed phenomenon predominantly presenting with low cerebrospinal fluid (CSF) pressure and postural headache in setting of CSF leak. The goal of this paper is to provide updates on the pathology, diagnosis, and management of SIH. The utility of multiple imaging modalities and the use of epidural blood patches and fibrin glue polymers are explored. Read More

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http://dx.doi.org/10.1007/s11910-019-0938-7DOI Listing

Intraoperative Management of an Enlarged Suprameatal Tubercle During Microvascular Decompression of the Trigeminal Nerve, Surgical and Anatomical Description: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar 9. Epub 2019 Mar 9.

Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota.

The suprameatal tubercle is a variable prominence of the posterior aspect of the petrous part of the temporal bone located above the internal acoustic meatus. An enlarged suprameatal tubercle (EST) may present an obstacle during posterior fossa operations, including microvascular decompression (MVD).  In this video we present the case of a 55-yr-old woman with 2 yr of medically refractory left V2-3 typical trigeminal neuralgia. Read More

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http://dx.doi.org/10.1093/ons/opz027DOI Listing
March 2019
1 Read

Widening the spectrum of secondary headache: intracranial hypotension following a non-aneurysmal subarachnoid hemorrhage.

Neurol Sci 2019 Mar 7. Epub 2019 Mar 7.

Neurology Service and Stroke Unit, Department of Neuroscience, AO Brotzu, Cagliari, Italy.

Background: Intracranial hypotension has been associated with a wide spectrum of neurological conditions including chronic non-aneurysmal and acute aneurysmal subarachnoid hemorrhage.

Case: A 59-year-old man presented with a non-aneurysmal subarachnoid hemorrhage in a perimesencephalic pattern after a mild physical exertion. In the course of the disease, a magnetic resonance imaging of head and spine displayed intracranial hypotension that resolved spontaneously. Read More

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http://dx.doi.org/10.1007/s10072-019-03809-3DOI Listing
March 2019
1 Read

Assessing Spinal Cerebrospinal Fluid Leaks in Spontaneous Intracranial Hypotension With a Scoring System Based on Brain Magnetic Resonance Imaging Findings.

JAMA Neurol 2019 Feb 18. Epub 2019 Feb 18.

University Institute of Diagnostic and Interventional Neuroradiology, University of Bern, Inselspital, Bern, Switzerland.

Importance: Various signs may be observed on brain magnetic resonance imaging (MRI) in patients with spontaneous intracranial hypotension (SIH). However, the lack of a classification system integrating these findings limits decision making in clinical practice.

Objective: To develop a probability score based on the most relevant brain MRI findings to assess the likelihood of an underlying spinal cerebrospinal fluid (CSF) leak in patients with SIH. Read More

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http://archneur.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamaneurol.2018.4921DOI Listing
February 2019
2 Reads

[Multimodal image fusion technology for diagnosis and treatment of the skull base-infratemporal tumors].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Feb;51(1):53-58

Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

Objective: To explore the value of incorporated multimodal image fusion technology with computer-aided design of the skull base-infratemporal tumor treatment.

Methods: A retrospective study was carried out to enroll seventeen patients with skull base-infratemporal tumors treated at Peking University Hospital of Stomatology from February 2011 to September 2018. Plain CT, enhanced CT and MRI data were imported into the iPlan 3. Read More

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http://dx.doi.org/10.19723/j.issn.1671-167X.2019.01.010DOI Listing
February 2019

Untreated Giant Macroprolactinoma with Chronic Cerebrospinal Fluid Leakage: An Unusual Complication.

Case Rep Endocrinol 2019 15;2019:4825357. Epub 2019 Jan 15.

Regenerative Medicine Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Pulau Pinang, Malaysia.

Macroprolactinoma has the potential to cause base of skull erosion and often extends into the sphenoid sinus. Rapid shrinkage of this invasive tumor following dopamine agonist therapy has been postulated to cause unplugging of the eroded area, leading to cerebrospinal fluid leakage. To the best of our knowledge, the occurrence of spontaneous cerebrospinal fluid leak in treatment-naive prolactinomas is very rare, the majority of which involve undiagnosed macroprolactinomas. Read More

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http://dx.doi.org/10.1155/2019/4825357DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350591PMC
January 2019

Do Most Patients With a Spontaneous Cerebrospinal Fluid Leak Have Idiopathic Intracranial Hypertension?

J Neuroophthalmol 2019 Feb 8. Epub 2019 Feb 8.

Departments of Ophthalmology (SB, NJN, and VB), Otolaryngology-Head and Neck Surgery (JML), Radiology and Imaging Sciences (AMS), Neurological Surgery (NMO and NJN), and Neurology (NJN and VB), Emory University School of Medicine, Atlanta, Georgia.

Background: The association between cerebrospinal fluid (CSF) leaks at the skull base and raised intracranial pressure (ICP) has been reported since the 1960s. It has been suggested that spontaneous CSF leaks might represent a variant of idiopathic intracranial hypertension (IIH). We review the evidence regarding the association between spontaneous CSF leaks and IIH, and the role of ICP in the pathophysiology of nontraumatic skull base defects. Read More

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http://dx.doi.org/10.1097/WNO.0000000000000761DOI Listing
February 2019
1 Read

Spontaneous Intracranial Hypotension: Imaging in Diagnosis and Treatment.

Radiol Clin North Am 2019 Mar 7;57(2):439-451. Epub 2018 Dec 7.

Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710, USA.

This article reviews the role of imaging in the diagnosis, management, and treatment of spontaneous intracranial hypotension (SIH). SIH is a debilitating and often misdiagnosed condition caused by either a spinal cerebrospinal fluid (CSF) leak or a CSF to venous fistula. This pathologic condition is identified and localized via spinal imaging, including computed tomographic (CT) myelography, dynamic myelography, dynamic (ultrafast) CT myelography, MR imaging, or MR myelography with intrathecal gadolinium. Read More

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http://dx.doi.org/10.1016/j.rcl.2018.10.004DOI Listing

Percutaneous CT-guided cyanoacrylate glue plugging for fluid leakage after interventional oncologic procedure.

Diagn Interv Imaging 2019 Jan 28. Epub 2019 Jan 28.

Department of Radiology, Tenon Hospital, Sorbonne Université, AP-HP, 4, rue de la Chine, 75020 Paris, France. Electronic address:

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http://dx.doi.org/10.1016/j.diii.2019.01.002DOI Listing
January 2019

Anatomical Risk Factors for Intraoperative Cerebrospinal Fluid Leaks During Transsphenoidal Surgery for Pituitary Adenomas.

World Neurosurg 2019 Jan 4. Epub 2019 Jan 4.

Universidad Nacional de Buenos Aires, Hospital de Clinicas, Buenos Aires, Argentina.

Background: Cerebrospinal fluid (CSF) fistulas are among the most clinically important and frequent complications of transsphenoidal surgery for pituitary adenomas. Between the adenoma and the CSF, a "barrier" exists that consists of ≤3 elements. These, from cephalad to caudad, are the arachnoid, dura mater (sellar diaphragm), and pituitary glandular tissue. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.094DOI Listing
January 2019
1 Read

Predictors of Nasoseptal Flap Use After Endoscopic Transsphenoidal Pituitary Mass Resection.

World Neurosurg 2018 Dec 30. Epub 2018 Dec 30.

Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Objective: The pedicled nasoseptal flap (NSF) is the widely accepted reconstructive technique of choice for repair of larger skull base defects after endoscopic endonasal approaches. There is a dearth of literature examining the decision-making process regarding flap harvest. The objective of this study is to evaluate preoperative characteristics that predict the use of NSF reconstruction after endoscopic transsphenoidal resection of pituitary tumors. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.097DOI Listing
December 2018
2 Reads

Foreign body in the thoracic spine due to a nail gun penetrating injury: A case report.

Medicine (Baltimore) 2018 Dec;97(52):e13870

Department of Emergency Medicine, Kaohsiung Medical University Hospital.

Rationale: Spinal cord injuries could be catastrophic because they may result in severe neurovascular complications. Here, we present a case of thoracic spine-penetrating injury by a nail-gun.

Patient Concerns: A 60-year-old male presented to our emergency department with complaints of progressive right chest pain for 1 week that was preceded by back pain. Read More

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http://Insights.ovid.com/crossref?an=00005792-201812280-0006
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http://dx.doi.org/10.1097/MD.0000000000013870DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314768PMC
December 2018
6 Reads

Tension pneumocephalus - A rare complication of cerebrospinal fluid leak.

Radiol Case Rep 2019 Mar 15;14(3):365-367. Epub 2018 Dec 15.

Department of Radiology, Madigan Army Medical Center, 9040A Jackson Avenue, Joint Base Lewis-McChord, WA 98431, USA.

Three months following a craniectomy and cranioplasty indicated for intraperenchymal hemorrhage, a 74-year-old male suffered a cerebrospinal fluid leak complicated by delayed tension pneumocephalus and declining neurologic status demonstrating a particularly rare complication of neurologic trauma and surgery. While with symptoms of a space occupying mass is the most common presentation, the patient presented cerebrospinal fluid leak prompting CT imaging and diagnosis. Urgent surgical decompression is necessary and was performed resulting in improved mental status. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.10.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297266PMC
March 2019
1 Read

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

Long-term sinonasal outcomes after endoscopic skull base surgery with nasoseptal flap reconstruction.

Laryngoscope 2019 May 19;129(5):1035-1040. Epub 2018 Dec 19.

Department of Neurosurgery, New York Presbyterian Hospital-Weill Cornell Medicine, New York, New York, U.S.A.

Objectives: The utilization of the nasoseptal flap (NSF) in endoscopic anterior skull base surgery (EASB) has resulted in reduced rates of postoperative cerebrospinal fluid leak (CSF). The long-term impact on sinonasal function after surgery remains incompletely defined.

Methods: A consecutive series of patients undergoing EASB with NSF and with at least 3 years follow-up was prospectively evaluated. Read More

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http://doi.wiley.com/10.1002/lary.27637
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http://dx.doi.org/10.1002/lary.27637DOI Listing
May 2019
19 Reads

Otopathology in Angiosarcoma of the Temporal Bone.

Laryngoscope 2019 Mar 11;129(3):737-742. Epub 2018 Dec 11.

Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts.

Objectives/hypothesis: Investigate the otopathology of angiosarcoma of the temporal bone, which has not been previously described in the literature.

Study Design: Postmortem evaluation and literature review.

Methods: Postmortem histological evaluation of the temporal bones and review of the literature for the treatment and prognosis of this rare disease were performed. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.27281
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http://dx.doi.org/10.1002/lary.27281DOI Listing
March 2019
6 Reads

Secondary pituitary abscess following transsphenoidal surgery with recurrent meningitis: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13458

Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Rationale: The transsphenoidal surgical (TS) approach to sellar masses is the preferred surgical route in most cases. Secondary pituitary abscess (PA) following TS is an extremely rare but serious postoperative complication with potentially high disability and mortality.

Patient Concerns: We describe an uncommon case of secondary PA in a 42-year-old woman, who underwent uncomplicated transsphenoidal procedures without cerebrospinal fluid leak, to treat primary Rathke cleft cyst. Read More

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http://dx.doi.org/10.1097/MD.0000000000013458DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283055PMC
November 2018
3 Reads

A modern series of subdiaphragmatic craniopharyngiomas.

J Neurosurg 2018 10 1:1-6. Epub 2018 Oct 1.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

OBJECTIVE: The endoscopic endonasal approach has been proposed as a primary surgical strategy for select craniopharyngiomas. However, those tumors that arise from the sella have not been classified with the other craniopharyngioma subtypes in terms of surgical nuances, intraoperative findings, and postoperative outcomes. The authors describe their experience with a select subtype of craniopharyngioma arising within the sella subjacent to the diaphragma sellae and refer to these tumors as type 0. Read More

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http://dx.doi.org/10.3171/2018.4.JNS172330DOI Listing
October 2018
20 Reads

Stereotactic Placement of Intratumoral Catheters for Continuous Infusion Delivery of Herpes Simplex Virus -1 G207 in Pediatric Malignant Supratentorial Brain Tumors.

World Neurosurg 2019 Feb 24;122:e1592-e1598. Epub 2018 Nov 24.

Department of Neurosurgery, Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Objective: The engineered herpes simplex virus-1 G207, is a promising therapeutic option for central nervous system tumors. The first-ever pediatric phase 1 trial of continuous-infusion delivery of G207 via intratumoral catheters for recurrent or progressive malignant brain tumors is ongoing. In this article, we describe surgical techniques for the accurate placement of catheters in multiple supratentorial locations and perioperative complications associated with such procedures. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.122DOI Listing
February 2019
4 Reads

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

Management of spontaneous temporal bone cerebrospinal fluid leak: A 30-year experience.

Am J Otolaryngol 2019 Jan - Feb;40(1):97-100. Epub 2018 Sep 26.

Department of Otolaryngology - Head & Neck Surgery, Loyola University Medical Center, Maywood, IL, United States of America.

Purpose: The goal of this study was to describe the incidence of and our long-term results in the management of spontaneous temporal bone CSF leak and to determine if there is any association with an increase in body mass index (BMI).

Methods: This was an Institutional Review Board (IRB) approved retrospective review of 58 patients who underwent repair of spontaneous temporal bone CSF leaks by a single surgeon at a tertiary care academic medical center between 1988 and 2017. Patients with CSF leaks due to trauma, iatrogenic injury, or chronic infection were excluded. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.09.018DOI Listing
April 2019
23 Reads

Imaging of Temporal Bone Trauma: A Clinicoradiologic Perspective.

Neuroimaging Clin N Am 2019 Feb 31;29(1):129-143. Epub 2018 Oct 31.

Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, 1305 York Avenue, 5th Floor, New York, NY 10021, USA.

Imaging plays an important role in the evaluation of temporal bone trauma. Certain imaging findings can significantly change patient management or change surgical approach. Precise knowledge of clinical or surgical management can guide the review of imaging to detect these key findings. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10525149183007
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http://dx.doi.org/10.1016/j.nic.2018.08.005DOI Listing
February 2019
18 Reads

Congenital Cholesteatoma in Adults-Interesting Presentations and Management.

Indian J Otolaryngol Head Neck Surg 2018 Dec 13;70(4):578-582. Epub 2018 Apr 13.

Christian Medical College, Vellore, 632004 India.

To report a series of adult patients diagnosed with congenital cholesteatoma (CC) with respect to symptoms, different varieties of presentation, surgical findings and approach used, complications and the postoperative results. A retrospective chart review of adult cases of CC who were treated in the period from January 2014-2017 was carried out in a tertiary care center. Levenson's criteria were used for diagnosis. Read More

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http://dx.doi.org/10.1007/s12070-018-1362-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224827PMC
December 2018
20 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

Piezosurgery for Infra- and Supratentorial Craniotomies in Brain Tumor Surgery.

World Neurosurg 2019 Feb 17;122:e1398-e1404. Epub 2018 Nov 17.

Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.

Objective: Piezoelectric surgery represents an innovative technique to perform safe and effective osteotomies and is an alternative to traditional bony tissue management using rotating or perforating instruments. We evaluated the safety and feasibility of craniotomies using an ultrasonic device that allows the selective cut of mineralized structures, avoiding damages to the vascular, dural, and parenchymal structures.

Methods: We analyzed a series of 300 patients (age range, 1-81 years; SD ± 15. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.064DOI Listing
February 2019
10 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

Age Dependence of Gadolinium Leakage from the Cortical Veins into the Cerebrospinal Fluid Assessed with Whole Brain 3D-real Inversion Recovery MR Imaging.

Magn Reson Med Sci 2019 Apr 5;18(2):163-169. Epub 2018 Nov 5.

Department of Radiology, Nagoya University Graduate School of Medicine.

Purpose: It has been reported that intravenously administered gadolinium-based contrast agents (IV-GBCAs) leak into the cerebrospinal fluid (CSF) even in healthy subjects. The purpose of this study was to evaluate GBCA leakage from the cortical veins in patients with delayed imaging after IV-GBCA.

Materials And Methods: There are two parts of retrospective study. Read More

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http://dx.doi.org/10.2463/mrms.mp.2018-0053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460126PMC
April 2019
2 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

Rectothecal fistula complicating anterior sacral meningocele repair.

Radiol Case Rep 2019 Jan 26;14(1):112-115. Epub 2018 Oct 26.

Department of Radiology, University of Washington, 1959 NE Pacific St, Seattle, WA 98195, USA.

We present a case of an iatrogenic rectothecal fistula in a 34-year-old man who underwent repair of a congenital anterior sacral meningocele, intraoperatively complicated by rectal perforation. Postoperatively, the patient developed symptoms of meningitis prompting concern for the cerebrospinal fluid leak. Subsequent workup with computed tomography (CT) and magnetic resonance imaging demonstrated a postoperative pseudomeningocele and fistulization with an abdominal fluid collection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19300433183041
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http://dx.doi.org/10.1016/j.radcr.2018.09.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205032PMC
January 2019
13 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

Implementation of Free Mucosal Graft Technique for Sellar Reconstruction After Pituitary Surgery: Outcomes of 158 Consecutive Patients.

World Neurosurg 2019 Feb 25;122:e506-e511. Epub 2018 Oct 25.

Division of Otolaryngology/Head and Neck Surgery, Department of Surgery, Albany Medical Center, Albany, New York, USA. Electronic address:

Background: Cerebrospinal fluid (CSF) leak is a common complication after surgeries involving sellar reconstruction. Various techniques, including the nasoseptal flap, have been developed to limit postoperative CSF leak. However, the nasoseptal flap causes complications owing to donor site morbidity. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183238
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http://dx.doi.org/10.1016/j.wneu.2018.10.090DOI Listing
February 2019
17 Reads

Degrees of Diaphragma Sellae Descent during Transsphenoidal Pituitary Adenoma Resection: Predictive Factors and Effect on Outcome.

Curr Med Sci 2018 Oct 20;38(5):888-893. Epub 2018 Oct 20.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

This study is aimed to classify degrees of diaphragma sellae (DS) descent into sella turcica according to the surgical field block caused by the descent and to construct predictive imaging criteria for the degree of descent, and in addition, to determine whether there is any correlation between the degree of DS descent and the operative outcome (in the form of cerebrospinal fluid leak and/or presence of residual tumor). Totally, 72 patients were enrolled in our study. Their clinical and radiological data as well as the high definition videos of operations were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s11596-018-1958-2DOI Listing
October 2018

Endoscopic transnasal resection of optic pathway pilocytic astrocytoma.

Childs Nerv Syst 2019 Jan 18;35(1):73-81. Epub 2018 Oct 18.

Department of Neurosurgery, King Saud University, Riyadh, Saudi Arabia.

Purpose: Optic pathway gliomas (OPGs) are low-grade neoplasms that primarily affect children. The management of OPGs remains controversial. Reports on the use of the endoscopic endonasal approach (EEA) in OPGs are extremely limited, and no such reports exist on its utility for pediatric OPGs. Read More

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http://link.springer.com/10.1007/s00381-018-3994-4
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http://dx.doi.org/10.1007/s00381-018-3994-4DOI Listing
January 2019
26 Reads
1.163 Impact Factor

Fallopian Canal Meningocele with Spontaneous Cerebrospinal Fluid Otorrhea: Case Report and Systematic Review of the Literature.

World Neurosurg 2019 Feb 13;122:e285-e290. Epub 2018 Oct 13.

Department of Otorhinolaryngology, Mayo Clinic School of Medicine, Rochester, Minnesota, USA; Department of Neurosurgery, Mayo Clinic School of Medicine, Rochester, Minnesota, USA. Electronic address:

Objective: To present a case of spontaneous cerebrospinal fluid (CSF) otorrhea from a fallopian canal meningocele involving the geniculate fossa and review all cases of fallopian canal CSF leak reported in the literature with discussion of management and outcomes.

Methods: A 53-year-old woman with history of morbid obesity and hypertension presented to a tertiary care referral center with unilateral high-volume CSF otorrhea. High-resolution temporal bone computed tomography demonstrated significant dilatation of the geniculate fossa. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.10.021DOI Listing
February 2019
16 Reads

Assessment of variations in sphenoid sinus pneumatization in Indian population: A multidetector computed tomography study.

Indian J Radiol Imaging 2018 Jul-Sep;28(3):273-279

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

Background And Purpose: The purpose of our study was to assess the prevalence of variations in the extent of sphenoid pneumatization in the Indian population and compare with existing literature.

Materials And Methods: This retrospective study included 500 patients who underwent CT of the paranasal sinuses. The multiplanar reformations of paranasal sinus were assessed for the type of pneumatization of the sphenoid sinus and type of clival, lateral recess, lesser wing, and anterior recess extensions. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_70_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176678PMC
October 2018
4 Reads

Correlations among brain and spinal MRI findings in spontaneous intracranial hypotension.

Cephalalgia 2018 Dec 9;38(14):1998-2005. Epub 2018 Oct 9.

2 Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei City, Taiwan.

Objectives: Several brain and spinal magnetic resonance imaging signs have been described in spontaneous intracranial hypotension. Their correlations are not fully studied. This study aimed to explore potential mechanisms underlying cerebral neuroimaging findings and to examine associations among spinal and brain magnetic resonance imaging signs. Read More

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http://journals.sagepub.com/doi/10.1177/0333102418804161
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http://dx.doi.org/10.1177/0333102418804161DOI Listing
December 2018
2 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

Disturbed Consciousness and Coma: Diagnosis and Management of Intracranial Hypotension Caused by a Spinal Cerebrospinal Fluid Leak.

World Neurosurg 2019 Jan 5;121:e700-e711. Epub 2018 Oct 5.

Department of Neurosurgery, Tokyo Metropolitan Neurological Hospital, Fuchu, Tokyo, Japan.

Objective: The diagnosis and treatment of intracranial hypotension associated with a spinal cerebrospinal fluid (CSF) leak, especially in comatose patients, have yet to be established.

Methods: Clinical manifestations, neuroimaging findings, and treatment outcomes in 11 patients (Glasgow Coma Scale score 10 ± 4) were described and compared with 36 patients with normal consciousness.

Results: Patients with disturbed consciousness were diagnosed at a significantly older age (55 ± 11 years; P < 0. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183224
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http://dx.doi.org/10.1016/j.wneu.2018.09.193DOI Listing
January 2019
5 Reads

Transsphenoidal Approach for Pituitary Adenomas in Elderly Patients.

World Neurosurg 2019 Jan 5;121:e670-e674. Epub 2018 Oct 5.

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

Introduction: With a rapidly expanding elderly population in the United States, the incidence of pituitary adenomas in elderly will continue to rise. In this study, we aim to evaluate the safety and efficacy of transsphenoidal endoscopic endonasal resection for pituitary adenomas in the elderly population.

Methods: A retrospective review of 131 consecutive patients who underwent transsphenoidal endoscopic endonasal resection for pituitary adenomas at the University of Miami Hospital between 2012 and 2016 was performed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183224
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http://dx.doi.org/10.1016/j.wneu.2018.09.187DOI Listing
January 2019
16 Reads

Clinical effect of the proximity of epidural blood patch injection to the leakage site in spontaneous intracranial hypotension.

Br J Neurosurg 2018 Dec 3;32(6):671-673. Epub 2018 Oct 3.

a Department of Anesthesiology and Pain Medicine , Samsung Medical Center, Sungkyunkwan University School of Medicine , Seoul , Korea.

Background: Epidural blood patch (EBP) has been shown to be an effective treatment option for spontaneous intracranial hypotension (SIH). We investigated whether response to the EBP was related to the distance of the injection site from the leakage site in patients with SIH.

Methods: We reviewed patients with SIH who underwent EBP at a single hospital. Read More

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http://dx.doi.org/10.1080/02688697.2018.1519109DOI Listing
December 2018
2 Reads

Spontaneous intracranial hypotension and its complications.

Arq Neuropsiquiatr 2018 08;76(8):507-511

Universidade Estadual de Campinas, Faculdade de Medicina, Departamento de Radiologia, Campinas SP, Brasil.

Spontaneous intracranial hypotension (SIH) is a syndrome that was unknown until the advent of magnetic resonance imaging (MRI). It is a cause of orthostatic headache, which remains underdiagnosed and, rarely, can result in several complications including dural venous sinus thrombosis, subdural hematoma and subarachnoid hemorrhage. Some of these complications are potentially life-threatening and should be recognized promptly, mainly by imaging studies. Read More

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http://dx.doi.org/10.1590/0004-282X20180070DOI Listing
August 2018
5 Reads

Cryptogenic Cerebrospinal Fluid Leaks in Spontaneous Intracranial Hypotension: Role of Dynamic CT Myelography.

Radiology 2018 Dec 18;289(3):766-772. Epub 2018 Sep 18.

From the University Institute of Diagnostic and Interventional Neuroradiology (T.D., P.J.M., F.Z., P.M., J.G., E.I.P.) and Department of Neurosurgery (A.R., C.T.U., J.B.), University of Bern, Inselspital, Freiburgstrasse 8, Bern 3010, Switzerland.

Purpose To propose a modified dynamic CT myelographic technique to locate cerebrospinal fluid (CSF) leaks, also known as cryptogenic leaks, in patients with spontaneous intracranial hypotension (SIH) in whom previous imaging did not show the dural breach. Materials and Methods This retrospective analysis included 74 consecutive patients with SIH and a myelographically proven CSF leak who were evaluated between February 2013 and October 2017. In 14 patients, dynamic CT myelography in the prone or lateral position showed the exact leakage point after unsuccessful previous imaging. Read More

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http://dx.doi.org/10.1148/radiol.2018180732DOI Listing
December 2018
22 Reads

The Endoscopic Endonasal Management of Anterior Skull Base Meningiomas.

J Neurol Surg B Skull Base 2018 Oct 27;79(Suppl 4):S300-S310. Epub 2018 Aug 27.

Center of Pituitary and Endoscopic Skull Base Surgery, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.

 The endoscopic endonasal approach (EEA) might seem an "unnatural" route for intradural lesions such as meningiomas. The aim of this study is to critically revise our management of anterior skull base meningiomas to consider, in what cases it may be advantageous.  Each consecutive case of anterior skull base meningioma operated on through an EEA or combined endoscopic-transcranial approach at our institution, between 2003 and 2017, have been included. Read More

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http://dx.doi.org/10.1055/s-0038-1669463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133667PMC
October 2018
3 Reads

The Role of Mixed Reality Simulation for Surgical Training in Spine: Phase 1 Validation.

Spine (Phila Pa 1976) 2018 Nov;43(22):1609-1616

Pediatric Neurosurgery Center/CENEPE - Beneficência Portuguesa Hospital, São Paulo, Brazil.

Study Design: This study shows the first phase of validation of a new model for realistic training on spine surgery, conducted from January 2014 to November 2015.

Objective: To propose and validate a new tool for neurosurgical education, associating virtual and realistic simulation (mixed reality), for spine surgery.

Summary Of Background Data: Surgical simulation is a relatively new filed that has a lot to offer to neurosurgical education. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002856DOI Listing
November 2018
24 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
24 Reads

Spontaneous nasal cerebrospinal fluid leaks: management of 24 patients over 11 years.

Eur Arch Otorhinolaryngol 2018 Oct 14;275(10):2487-2494. Epub 2018 Aug 14.

Department of Otorhinolaryngology-Head and Neck Surgery, Klinikum der Universität München, Marchioninistr. 15, 81377, Munich, Germany.

Purpose: Most cases of non-traumatic nasal cerebrospinal fluid (CSF) leaks occur spontaneously without any obvious reason. Severe and life-threatening complications are possible consequences. Endoscopic repair is considered the gold standard; however, diagnosis and therapy of these CSF leaks stay challenging. Read More

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http://link.springer.com/10.1007/s00405-018-5089-y
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http://dx.doi.org/10.1007/s00405-018-5089-yDOI Listing
October 2018
32 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