RE: Non-traumatic cerebrospinal fluid rhinorrhea: diagnosis and management

Dorta‐Contreras, Alberto Juan

doi:10.5144/0256-4947.2005.515

Cited by 1 publication

(2 citation statements)

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“…Some literature have described of a defect in the lateral sphenoid sinus forming a canal known as the lateral craniopharyngeal canal (Sternberg canal) that was thought to participate in the pathogenesis of spontaneous CSF rhinorrhoea. 9,25 . However, there are a number of controversies regarding the location of this anatomical entity.…”

Section: Methodsmentioning

confidence: 99%

“…There have been previous classifications of CSF rhinorrhoea into primary and idiopathic when the cause of the CSF leak could not be found and secondary when the CSF leaks were due to either intracranial or extracranial cause 1,6,7 . Later publications have further classified CSF rhinorrhoea into traumatic (>90%) and non-traumatic (<10%) where spontaneous leaks account for 3-4% of all leaks in the non-traumatic group [6][7][8][9][10] . Ommaya 1968 has classified non-traumatic CSF leaks into high pressure and normal pressure leaks.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous cerebrospinal fluid rhinorrhoea and its association with body mass index (BMI)

Wen

Gendeh²,

Husain

et al. 2019

Bangladesh J Med Sci

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Objective: The purpose of this study is to review the correlation of spontaneous cerebrospinal fluid rhinorrhoea (CSFR) and Body Mass Index (BMI) and describe the demographics, the surgical techniques and outcomes. Materials and methods: We performed a retrospective review of clinical data of twenty patients diagnosed with spontaneous CSFR and treated at the Malaysian National University Medical Centre from 1997 to 2015. Result and Discussion: A total of 20 patients were selected in this research (19 females,1male). The mean age was 45.5 years with nineteen females and one male patient. The mean BMI was 33.1kg/m 2 .Majority of patients with spontaneous leaks are females in their forties. The bath plug technique, onlay of middle turbinate grafts, nasoseptal flaps and mucoperiosteal grafts techniques were used and three patients reported recurrences. Conclusion: Spontaneous CSFR is more common in women in their 40s with BMI>25. The most common sites of leaks are the cribriform plate followed by the sphenoid sinus. Spontaneous CSFR cases are strongly related with increased BMI.

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Section: Methodsmentioning

confidence: 99%