Cerebrospinal Fluid Fistulae

Spetzler, Robert F.; Selman, Warren R.; Kaufman, Benjamin

doi:10.1007/978-1-4615-9269-3_58

Cited by 7 publications

(8 citation statements)

References 74 publications

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“…Rates of CSF leak following any head trauma have been reported at 2 to 3%. 2 In a study of 1,278 patients with maxillofacial trauma, 17 (1.3%) had CSF leak. 8 All of these patients had skull-base fractures.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Removal of a Bullet in Rosenmuller Fossa: Case Report

et al. 2016

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Fractures of the anterior skull base may occur in gunshot victims and can result in traumatic cerebrospinal fluid (CSF) leak. Less commonly, CSF leaks occur days or even weeks after the trauma occurred. Here, we present the case of a 21-year-old man with a delayed-onset, traumatic CSF leak secondary to a missile injury that left a bullet fragment in the Rosenmuller fossa. The patient was treated successfully with endoscopic, endonasal extraction of the bullet, and repair with a nasal septal flap. Foreign bodies lodged in Rosenmuller fossa can be successfully treated with endoscopic skull base surgery.

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Section: Discussionmentioning

confidence: 99%

“…CSF leaks may be either spontaneous or traumatic, and most traumatic CSF leaks will resolve within 1 week. 2 In contrast, CSF leak with delayed occurrence has a low likelihood of resolving without surgery. 3 The fossa of Rosenmuller is also known as the posterolateral recess or the pharyngeal recess.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Removal of a Bullet in Rosenmuller Fossa: Case Report

et al. 2016

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“…Posttraumatic CSF otorrhea or rhinorrhea secondary to basilar skull fracture can be successfully treated by lumbar drainage alone. Findler et al reported in 1977, 14 patients with posttraumatic CSF rhinorrhea treated initially with lumbar drainage alone for an average of 8 days 26) . In those patients who experienced leaking within 48 hours, the drain was successful in 8 of 9 cases 26) .…”

Section: Discussionmentioning

confidence: 99%

Extraordinarily Long-Term Posttraumatic Cerebrospinal Fluid Fistula

Kim

Hur

Lee

et al. 2007

J Korean Neurosurg Soc

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“…Cerebrospinal fluid rhinorrhea has been classified into traumatic or nontraumatic and high or low intracranial pressure types (Spetzler and Zabramski, 1986). Patients whose rhinorrhea is atraumatic may present with a more complicated neurologic picture indicative of high intracranial pressure.…”

Section: Discussionmentioning

confidence: 99%

“…Little and MacCarty (1976) suggested that satisfactory shunt function may not occur until fistula obliteration. Others have indicated that recurrent, copious CSF leaks be treated by direct repair followed in 1 week by a shunting procedure (Spetzler and Zabramski, 1986).…”

Section: Discussionmentioning

confidence: 99%