AJNR Am J Neuroradiol. [Medline]. The probe indicates that access to the defect is performed through the maxillary sinus and pterygopalatine fossa. If invasive testing is required however, CT myelography is the study of choice for locating a leak once spinal a CSF leak is suspected. 2001 Feb. 15(1):8-12. The risk of meningitis with untreated CSF rhinorrhea has also been reported to range from 23% to 60% (1,3,4).
Clin Neurol Neurosurg.
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Surgical repair of spontaneous cerebrospinal fluid (CSF) leaks: A systematic review. Heterotopic Ossification in Spinal Cord Injury, Prevention of Thromboembolism in Spinal Cord Injury, Autonomic Dysreflexia in Spinal Cord Injury, Paralympian Overcomes Spine-Breaking Fall to Pursue Medicine, Newly Discovered Neutrophils Promote Neuron Survival, Axon Regeneration, Migraine Nerve Stimulation Device Now Available Over-the-Counter, Insomnia With Short Sleep Linked to Cognitive Impairment. Eljamel MS, Pidgeon CN, Toland J, et al. Cerebrospinal fluid leakage--reliable diagnostic methods. 1991;111(3-4):119-27. doi: 10.1007/BF01400499. A CSF rhinorrhea can occur whenever there is open communication between the subarachnoid space and other spaces via meningeal disruption. Arlen D Meyers, MD, MBA Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine
Spontaneous CSF rhinorrhea arising from the middle cranial fossa: CT demonstration. Endoscopic management of spontaneous CSF rhinorrhea with septal graft and middle turbinate rotational flap technique: a review of 31 cases.
2015 Jan-Feb. 29 (1):77-81. Repair of the leak can be performed with an underlay fascia graft and an anterior-based pedicled mucosa flap. 1998 Apr;19(4):633-9. Am J Rhinol Allergy.
22(4):718-20. This finding compares favorably with the results of other techniques. See this image and copyright information in PMC.
2010 Sep. 67(3 Suppl Operative):ons150-8; discussion ons158.
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Fat-suppressed T2-weighted MRI shows a CSF leak in the ethmoids.
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Clipboard, Search History, and several other advanced features are temporarily unavailable. The standard diagnostic technique is computed tomography (CT) cisternography. 2000 Jul. KE Y W O RD S: CSF rhinorrhea, high-resoluti on CT, MRI cisternography S uccessful surgical repair of cerebrospinal
Cappabianca P, Cavallo LM, Esposito F, et al. �ǗX�h ��n�m�M��qJ%e��vn��۽�,8�S��? It can occur whenever there is an osseous or dural defect of the skull base (cf.
Cerebrospinal fluid (CSF) rhinorrhea is a rare but potentially devastating condition that can lead to significant morbidity and mortality for the patient.
11 Hubbard JL, McDonald T J, Pearson BW, Laws ER Jr. Sponta- neous cerebrospinal fluid rhinorrhea…
142:43-7.
CSF rhinorrhea refers to a symptom of cerebrospinal fluid (CSF) leakage extracranially into the paranasal sinuses, thence into the nasal cavity, and exiting via the anterior nares.
Arch Otolaryngol Head Neck Surg.
[Medline]. 0000003395 00000 n
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High-resolution computed tomography (CT) scanning is the imaging modality of choice for identifying a skull base defect associated with CSF rhinorrhea. 2017 Oct-Dec;27(4):441-446. doi: 10.4103/ijri.IJRI_380_16. Endoscopic management of cerebrospinal fluid rhinorrhea. Pol J Radiol. Composite picture shows the exact site of leakage into the ethmoids. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly93d3cubWVkc2NhcGUuY29tL2Fuc3dlcnMvODYxMTI2LTEwMjQyNy9ob3ctaXMtY2VyZWJyb3NwaW5hbC1mbHVpZC1jc2Ytcmhpbm9ycmhlYS1kaWFnbm9zZWQ=. Managing cerebrospinal fluid rhinorrhea after lateral skull base surgery via endoscopic endonasal eustachian tube closure.
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93(6):E14-9. USA.gov. Int Forum Allergy Rhinol. Neurosurgery. Makary CA, Zalzal HG, Ramadan J, Ramadan HH. 0000002201 00000 n
Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. HHS 0000004149 00000 n
Oakley GM, Alt JA, Schlosser RJ, Harvey RJ, Orlandi RR. CT cisternogram shows bilateral CSF leaks. However, if the …
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Fat-suppressed T2-weighted MRI detected a CSF-like density in 18 cases (90%) with a sensitivity of 88.88%. Iatrogenic causes make up 16% of CSF rhinorrhea, with the last 4% of CSF rhinorrhea due to varied causes, …
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High-resolution CT scanning is the imaging modality of choice for identifying a skull base defect associated with CSF rhinorrhea.
[Medline]. 134:110044. Endoscopic endonasal minimal access approach to the clivus: case series and technical nuances. 0000004420 00000 n
CSF rhinorrhoea: the place of endoscopic sinus surgery. The etiologies of CSF fistulae include accidental trauma, iatrogenic causes, tumors, encephaloceles, and spontaneous leaks.
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(Top) Coronal T2-weighted MRI with false color rendering showing leakage from the fovea. 0000035872 00000 n
Byrne JV, Ingram CE, MacVicar D, et al. (Bottom) Coronal CT shows thinning and a fluid-like density in the ethmoids. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. 0000008920 00000 n
Shetty PG, Shroff MM, Sahani DV, Kirtane MV. Nadieska Caballero, MD Fellow in Rhinology and Skull Base Surgery, Sinus and Nasal Institute of Florida �BG���Q������o����q����3CZ0 ����~�Yw�1�X��n�O� ;x��
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1994 Nov. 111(5):600-5.
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Cerebrospinal fluid (CSF) rhinorrhea is a potentially dangerous problem.