BACKGROUND Intrathecal injection of fluorescein is a useful adjuvant method for localization of fistulas in endoscopic endonasal repair of cerebrospinal fluid (CSF) leakage. Although being neurotoxic in commercial doses, a low dose of diluted fluorescein seems to be safe on the basis the existing data in the literature. OBJECTIVES The purpose of this study was to investigate the role of a low...

1Medical residents of Neurology, Department of Neurology, Federal Fluminense University, Niterói RJ, Brazil; 2MD, PhD, Professor of Neurology, Department of Neurology, Federal Fluminense University, Niterói RJ, Brazil; 3Ophthalmologist, Post-graduating program in Neurology and Neuroscience, Federal Fluminense University, Niterói RJ, Brazil; 4Radiologist at Antonio Pedro Hospital, Federal Flumin...

BACKGROUND AND PURPOSE Radiologic identification of the location of the CSF leakage is important for proper surgical planning and increases the chance of dural repair. This article describes our experience in analyzing clinically suspected cranial CSF fistulas by using MR imaging combined with the intrathecal administration of a gadolinium-based contrast agent. MATERIALS AND METHODS A total o...

Muhammad Burhan Ud din Janjua, Inayat Ullah Khan Department of Neurosurgery, Shifa International Hospital, Islamabad, Pakistan. ABSTRACT Objective To present the local experience of fat graft use for sella closure in case of intraoperative CSF leak to prevent the post operative CSF rhinorrhea. Patient and Methods We retrospectively studied 22 cases operated for pituitary adenomas from 2004 to 2...

Purpose: Assessment of the efficacy of nasoseptal vascularized flap (NSF) in reconstructing the skull base defects after transsphenoidal procedures and CSF rhinorrhea. Material and Methods: Thirteen patients with intraoperative diagnosis of skull base defects and/or CSF leak after endoscopic transsphenoidal surgery or preoperative diagnosis of CSF rrhinorhea were included in this study. Multila...

Abstract Background Spontaneous cerebrospinal fluid (CSF) leaks are associated with high morbidity and recurrence rates. Most cases had increased intracranial pressure (ICP) on presentation. There is still controversy regarding the use of lumbo-peritoneal shunt to prevent its recurrence. Aim This study was conducted evaluate impact CSF following initial as well recurrent repair spontaneous avoi...

Objective: In posterior fossa surgery such as microvascular decompression (MVD), cerebrospinal fluid (CSF) leakage is a crucial problem. this study, we explored the accurate diagnosis and effective non-surgical management of postoperative CSF leakage.Methods: We reviewed 749 patients who underwent MVD from August 2018 to April 2022. Although significantly reduced problem by using triple-layer c...

A 42-year-old woman presented with symptoms of left-sided nasal obstruction, cerebrospinal fluid (CSF) rhinorrhea, and frequent sinus infections. Radiologic investigation revealed a tumor destructing the left cribriform plate and forming opacifications in the olfactory area. She had left-sided submucosal meningocele, deviating the septum to the right side. Intracranial involvement was not obser...