Abstract   Background: Over the past 20 years, the minimally invasive endoscopic approach   has gained widespread acceptance. The study was performed to evaluate the   diagnostic method and the success rate of endoscopically diagnosed and treated CSF   rhinorrhea, and also investigations such as leakage site and etiologic factor.   Methods: This retrospective CSF leakage management review of ...

When patients present with spontaneous cerebrospinal fluid (CSF) rhinorrhea the primary diagnostic goal is localizing the site of leakage so that an appropriate approach for surgical repair can be selected. Metrizamide computed tomography (CT) has become the preferred method for investigating CSF rhinorrhea for several reasons [1-4]. CT provides superb bone detail so that fractures or areas of ...

INTRODUCTION Cerebrospinal fluid (CSF) rhinorrhea results from an abnormal communication of the dura mater to the nasal mucosa. The majority of cases of CSF rhinorrhea are the result of trauma or surgery involving the skull base. Spontaneous CSF rhinorrhea is a rare clinical entity with increased risk of ascending infection. Delay in diagnosis places the patient at risk of developing meningitis...

A 56-year-old man underwent a septoplasty 20 years ago; however, one month prior to hospitalization he got a bad cold and cough, followed by a watery rhinorrhea. Computed tomography (CT) scan showed a defect in the right planum sphenoidale. After admission, with the typical clinic symptoms, the history of septoplasty and imageology evidence, the patient was diagnosed as delayed CSF rhinorrhea, ...

A radionuclide counting method, performed with the patient prone and the neck flexed, was used successfully to diagnose CSF rhinorrhea in two patients. A normal radionuclide ratio (radionuclide counts in pledget/radionuclide counts in 1-ml blood sample) was obtained in 11 normal control subjects. Significance was determined to be a ratio greater than 0.37. Use of radionuclide counting method of...

Background: In recent years, many techniques for endoscopic closure of CSF leaks have been described and almost completely replaced the more traumatic transcranial and extracranial procedures. Aim of work: To evaluate endoscopic endonasal multilayer repair of CSF rhinorrhea of anterior and middle cranial fossae utilizing the vascularized middle turbinate rotational flap. Patients and methods: T...

UNLABELLED Cerebrospinal fluid (CSF) rhinorrhea is a leakage of fluid from the subarachnoid space to the frontal, sphenoidal or ethmoidal sinuses. CSF rhinorrhea is a known potential complication with significant morbidity and mortality. It may present a significant challenge in diagnosis, localization and management. STUDY DESIGN Series study. MATERIAL AND METHOD Between 1993 and 2004, 44 ...

Postoperative cerebrospinal fluid (CSF) rhinorrhea after septoplasty is a known entity resulting from errors in surgical technique and improper handling of the perpendicular plate of the ethmoid bone. When these occur, urgent management is necessary to prevent deleterious sequelae such as meningitis, intracranial abscess, and pneumocephalus. Encephaloceles are rare occurrences characterized by ...

Cerebrospinal fluid (CSF) rhinorrhea is the result of an osseous defect at the skull base coupled with a disruption of the dura mater and arachnoid with a resultant pressure gradient leading to the CSF leak. Cerebrospinal fluid (CSF) rhinorrhea is a potentially dangerous condition as the risk of intracranial infection is increased if it persists. Therefore, accurate preoperative localization of...