Abstract
Spontaneous cerebrospinal fluid leaks of the cribriform plate represent a unique challenge to endoscopic skull base surgeons. Using high-definition endoscopic magnification, stereotactic image guidance, and intrathecal fluorescein can greatly assist in the identification and closure of the skull base defect. After the defect is discovered, surgical closure depends primarily on the position of the leak and size. After surgical repair, careful attention to conservative patient measures must be used in the postoperative period. Adjunctive treatments with lumbar drainage and acetazolamide remain options and may be more helpful in the setting of high-risk patients.
Original language | English (US) |
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Title of host publication | Cerebrospinal Fluid Rhinorrhea |
Subtitle of host publication | Comprehensive Guide to Evaluation and Management |
Publisher | Elsevier |
Pages | 144-149 |
Number of pages | 6 |
ISBN (Electronic) | 9780323870726 |
DOIs | |
State | Published - Jan 1 2023 |
Keywords
- Cribriform
- CSF Leak
- Endoscopic Sinus Surgery
- Idiopathic Intracranial Hypertension
- Skull Base
- Spontaneous Cerebrospinal Fluid Leak
ASJC Scopus subject areas
- General Medicine