Surgical management of spontaneous cerebrospinal fluid leak of the cribriform plate

Duncan C. Watley, Murugappan Ramanathan

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish (US)
Title of host publicationCerebrospinal Fluid Rhinorrhea
Subtitle of host publicationComprehensive Guide to Evaluation and Management
PublisherElsevier
Pages144-149
Number of pages6
ISBN (Electronic)9780323870726
DOIs
StatePublished - 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

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