OBJECTIVE Cerebrospinal fluid leakage is the most common complication of endoscopic trans-sphenoidal pituitary surgery. However, there is no uniformly accepted way of managing this complication when it occurs intra-operatively. This paper describes a quick, simple technique, involving layered fibrin glue and gelatin sponge, which does not compromise post-operative patient follow up. METHOD Re...

We present a case report of a 60-year-old woman with a spontaneous cerebrospinal fluid leak at the clivus, obesity and no history of trauma. Follow-up imaging scans confirmed enlargement of the defect within the posterior clival framework to the size of 16 × 9 × 4 mm with a suspected meningocerebral hernia. The surgeons used the "two nostrils - four hands" endoscopic operating technique. The pa...

Cerebrospinal fluid (CSF) leaks are one of the common complications after traumatic brain injuries (TBI). The risks of CSF leaks can be detrimental to the outcomes of the patients. Early diagnosis and proper management is imperative for it is strongly associated with a better long-term prognosis of the patients. Diagnostic tools for CSF leaks are still under debate. Nevertheless, many reports o...

Cerebrospinal fluid (CSF) analysis is an important component of the diagnostic evaluation of patients with neurologic diseases, and abnormalities in the color, cellularity, and protein level of the CSF may contribute to or confirm the diagnosis. Cerebrospinal fluid abnormalities have to be viewed in the context of the neurologic examination, historical complaints, clinical findings, advanced im...

BACKGROUND Lumbar discectomy is still one of the most common spinal surgeries performed today. Nevertheless, there are few publications considering severe complications. CASE DESCRIPTION We report a case with severe complication, without any previous report, a brain empyema after cerebrospinal fluid leak with good outcome afterword. A 45 years old man, returned six days after surgery, present...

One of the goals of the APUSS project (assessing infiltration and exfiltration on the performance of urban sewer systems) is to assess sewer exfiltration, in order to support cities and operators to define problem-oriented rehabilitation strategies. In this paper, we review various methods currently used for the estimation of exfiltration and discuss data needs and applicability for rehabilitat...

A 34-year-old woman came to the emergency room complaining of a severe orthostatic headache. Results of a cerebrospinal fluid tap and brain computed tomography were normal. Based on her history and symptoms, she was found to have spontaneous intracranial hypotension. She was hospitalized and her symptoms improved with conservative treatment. On the next day, her headache suddenly worsened. Cist...