in this study, we examined the role of early acetazolamide administration in reducing the risk of cerebrospinal fluid (csf) leakage in patients with a high risk of permanent csf leakage. in a randomised clinical trial, 57 patients with a high risk of permanent csf leakage (rhinorrhea, otorrhea, pneumatocele or imaging-based evidence of severe skull-base fracture) were analysed. in the experimen...

Background and Aim: Several surgical techniques have been so far used for treating Cerebrospinal Fluid (CSF) leakage (rhinorrhea) such as using abdominal fat or fascia lata, but these methods have complications such as the presence of several surgeons in variable fields in the operating room or cosmetic complications for donors such as the surgical scar. This study aimed to investigate using bu...

abstract radionuclide cisternography (rnc) is of potential value in pointing out the sites of cerebrospinal fluid (csf) leakage in patients with spontaneous intracranial hypotension (sih). in the current report, we present two patients who underwent rnc for suspected csf leakage. both patients underwent magnetic resonance imaging (mri) and rnc for evaluation. we describe a simple method to incr...

a retrospective analysis was performed on forty cases of spinal cord meningiomas, operated on at dr. shariati hospital from 1976 to 1990. age and sex distribution, clinical presentation and tumor location were comparable to those reported by others. in males the tumors were distributed evenly in cervical and dorsal areas and were often anterior to the cord. this finding makes a different surgic...

INTRODUCTION The management of posttraumatic cerebrospinal fluid (CSF) rhinorrhoea remains a clinical challenge. Cerebrospinal fistula is a dural defect responsible for possible CSF leakage into the contiguous air-filled cavities located at the skull base. The risk of central nervous system infection in these conditions is severe and can be life threatening. Consequently, a specific CSF biomark...

OBJECTIVE Cerebrospinal fluid leakage remains a significant cause of morbidity following posterior fossa surgery, and its treatment remains a difficult problem. The aim of the study was to propose a treatment algorithm for its management. METHODS A retrospective, single-center study was conducted on 147 patients who underwent elective posterior fossa surgery for a variety of diseases . Patien...

  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 ...

An incidental dural tear resulting in cerebrospinal fluid (CSF) leakage is a complication of spinal surgery, with a reported incidence of between 0.3% and 16% (1, 2). The patient is likely to experience symptoms of CSF hypovolemia, including postural headache plus nausea, vomiting, pain or tightness in the neck or back, dizziness, diplopia, photophobia, tinnitus, and/or blurred vision. The usua...

Cerebrospinal fluid (CSF) leakage is a serious postoperative complication associated with total en bloc spondylectomy. The authors examined the risk factors for CSF leakage after this procedure. A total of 72 patients underwent total en bloc spondylectomy at the authors' institution between May 2010 and April 2013. Postoperative CSF leakage was observed in 17 of the 72 patients (23.6%). The res...