INTRODUCTION Endoscopic repair is considered the treatment of choice in cerebrospinal fluid (CSF) rhinorrhea. The aim of our study was to analyze the etiopathogenesis of CSF rhinorrhea, the outcome of treatment and the causes of failure in a developing-country setting. MATERIALS AND METHODS A retrospective review of patients treated with endoscopic repair for CSF rhinorrhea at a tertiary care...

The surgical management of cerebrospinal fluid (CSF) rhinorrhea has changed after the introduction of functional endoscopic sinus surgery.The following three cases illustrate the repair of CSF leaks with the use of rigid endoscope. Two patients had the diagnosis and the site confirmed after intrathecal fluoresceine saline injection. The obliteration of the CSF was achieved with fat free, mucope...

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 patients...

26 J Kor Neurotraumatol Soc Cerebrospinal fluid (CSF) rhinorrhea involves a breakdown of all barriers that separate the subarachnoid space from the upper aerodigestive tract, namely, the mucosa of the nasal cavity or paranasal sinus, skull base, dura mater, and arachnoid membrane. CSF rhinorrhea expressed as meningitis, subdural empyema or brain abscess, when inadequately treated 3,19) . CSF fi...

Background &Aim: The endoscopic endonasal transsphenoidal approach has been widely employed as a treatment for pituitary adenomas and other parasellar tumors. However, the major concerns related to endoscopic endonasal transsphenoidal surgery include the risks of CSF leak post-operatively leading to morbidity and at times mortality due to severe meningitis. Several studies in the past have foun...

Dear Editor, Sepsis and meningitis due to group B streptococcus (GBS) predominantly occur in the first week of life. However, such invasive infections have been increasing among adults, especially in patients with underlying medical conditions.1,2 Here, we present the first documented case of GBS meningitis as the initial clinical manifestation of recurrent pituitary adenoma. A 55-year-old woma...

INTRODUCTION Spontaneous cerebrospinal fluid leakage is usually caused by developmental abnormalities and is rare, accounting for approximately 5% of the cases of cerebrospinal fluid (CSF) leakage. To the best of our knowledge, clival dysplasia-caused CSF rhinorrhea has never been reported in the neurosurgical field. CONCLUSION Spontaneous cerebrospinal fluid rhinorrhea is often treated by su...

OBJECTIVES To present a rare case of cerebral venous sinus thrombosis (CVST). CLINICAL PRESENTATION AND INTERVENTION A 43-year-old woman presented with coma and was diagnosed as a case of CVST. She recovered in a few days with heparin treatment. Many possible risk factors for CSVT were negative in the patient but intermittent cerebrospinal fluid (CSF) rhinorrhea was accidentally noticed. Cere...

Cerebrospinal fluid (CSF) rhinorrhea is often intermittent, thus complicating the cisternographic localization of the leakage. In four patients studied, this difficulty was overcome by lumbar infusion of artificial CSF to which a bolus of radionuclide was added. The tracer was moved in bulk to the basal cisterns, and the rise in CSF pressure elicited a profuse rhinorrhea. Sequential imaging was...