Surgically repaired posttraumatic CSF rhinorrhea: An institutional experience and review of literature

Kumar, Brijesh; Sahu, Rabinarayan; Srivastava, Amit; Nair, Anup; Mehrotra, Anant; Rajkumar, .

doi:10.4103/2277-9167.94366

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…The Endonasal Endoscopic approach is superior due to high success rate (90-100%), low morbidity, limited hospital stays, olfaction preservation than transcranial approach 10 as evident by other studies such as, of Burns et al (1996) reported 83% 11 , Bhalodiya et al (2007) reported 85% success rate, 12 Mattox et al (1990) reported 86% success rate, 13 Rohit et al (2009) reported 90% success rate 14 and Singh et al (2010) reported 90% success rate. 15 In the last few years, the Endoscopic Endonasal technique is being widely adopted in neurosurgical practice in Pakistan as CSF rhinorrhea is a common complication after anterior skull base fracture following head injury and is a rare entity.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Endoscopic Repair of CSF Rhinorrhea with Endonasal Endoscopic Approach in terms of Success of Repair.

Ishfaq¹,

Abbas²,

Akmal³

et al. 2019

Pak J Neurol Surg

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Objective: This descriptive case series conducted to evaluate the outcome of CSF rhinorrhea repair with the Endonasal Endoscopic approach in terms of success of the repair.Materials and Methods: The study was conducted at Neurosurgery department, Unit II, Punjab institute of neurosciences, Lahore. This study involved 40 patients aged between 3-80 years of both genders diagnosed of CSF rhinorrhea with presented with in 1 week after trauma and spontaneous and postoperative cases.Results: The age of the patients ranged from 5 years to 53 years with a mean of 22.75 ± 15.59 years. Total 30 (75%) male and 10 (25%) female patients are included in the study. The underlying etiology was found to be post-traumatic (67.5%) 27 cases, followed by post-operative in 7 (17.5%) and spontaneous in 6 (15.0%) cases. Successful repair was observed in 36 (90.0%). No significant difference was found in the frequency of successful repair among various age groups; 5-20, 21-36 and 37-53 years (95.7%, 83.3% and 81.8%; p = 0.381), gender groups; male verses female (86.2% and 100.0%; p = 0.194) and etiological groups; post-traumatic vs. post-operative vs. spontaneous (92.6% vs. 71.4% vs. 100.0%; p = 0.169).Conclusions: The frequency of successful repair was found to be 90% in patients of CSF rhinorrhea treated through Endonasal endoscopic approach. No statistically significant difference was found in successful repair frequency across patient’s gender, age and underlying cause of CSF rhinorrhea.

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Section: Introductionmentioning

confidence: 99%

Outcome of Endoscopic Repair of CSF Rhinorrhea with Endonasal Endoscopic Approach in terms of Success of Repair.

Ishfaq¹,

Abbas²,

Akmal³

et al. 2019

Pak J Neurol Surg

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“…If the leak does not respond to conservative measures in two weeks, then it is imperative to intervene invasively. [5][6][7] The common investigations performed to detect skull fracture and hence the suspected dural tear area by the high-resolution CT scan is seen with coronal and sagittal cuts. MRI with T2 weighted images in prone position is also highly favored.…”

Section: Original Articlementioning

confidence: 99%

Cerebrospinal Fluid Leak - Prevalence in Traumatic Head Injury at a Tertiary Care Center

Junaid

Nabi

Khan

et al. 2019

JIMDC

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Background: Cerebrospinal fluid circulates around the surface of brain and spinal cord and through the brain’s ventricles. CSF leak is a condition that occurs when the CSF leaks through a defect in the dura or skull and out through the ear or nose. The most common causes of CSF leak include head injury, brain and sinus surgery. The objective of this study was to determine the frequencies of post-traumatic cerebrospinal fluid leak in traumatic head injury. Material and Methods: A descriptive case series was carried out in the Department of Neurosurgery, Hayatabad Medical Complex, Peshawar for a period of 1 year, from 1st February 2016 to 31st January 2017. A total of 422 patients presenting within 48 hours of acute trauma to the head were included in a consecutive manner and followed up till 7th day to determine the CSF leak. Results: The mean age group of our sample was 37.37 + 12.3 years of which 79.6% were male patients and 20.4% female patients. Most of the patients (55.5%) were ≤ 40 years of age. CSF leak was observed in 5.2% of patients, with otorrhea seen in 2.1% patients and rhinorrhea in 3.1% patients, respectively. Conclusion: CSF leak is quite common in our population after acute trauma to the head. The high prevalence may be due to high frequency of accidents in our society with high velocity impact and more commonly seen in the younger age group (≤ 40 years).

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“…The decision of whether to observe or to surgically intervene is most likely to be dependent on the cause, site of leak, and timing of the leak. 4 Current guideline advises conservative treatment of posttraumatic CSF leaks for 10 to 14 days. If the leak does not respond to conservative measures in two weeks, then it is imperative to intervene invasively.…”

Section: Introductionmentioning

confidence: 99%

To Evaluate the Frequencies of Post- Traumatic Cerebrospinal Fluid Leak in Patients Presenting with Traumatic Brain Injury

Ullah,

Khan,

Khan

et al. 2023

PJMHS

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Introduction: Traumatic brain injury is the fourth largest cause of fatal trauma worldwide. The social and economic implications of traumatic brain injuries are immense whilst the physical and mental bearing upon the patient is devastating. Objective: Objective of this study is to evaluate the frequencies of post- traumatic cerebrospinal fluid leak in patients presenting with traumatic brain injury. Methodology of the study: This study was conducted at Neuro Surgery Department of Lady Reading Hospital, Peshawar during 20/7/2020 to 20/1/2021.In the current study a total of 303 patients presenting with initial head trauma presenting within 24 hours with Glasgow coma score ≤15, patients in age between 18 to 65 years and both gender (male/female) were included in the study. All the patients were subjected for detailed history, clinical examination and radiological examination i.e. CT and MRI was done for the confirmation of brain injury. All the patients were followed till 7th post operative day for the diagnosis of Cerebrospinal fluid leak. It is clear water cerebrospinal fluid discharge diagnosed on clinical examination till 7th post-trauma day and was determined in terms of rhinorrhea or otorrhea. Results: Our study shows that among 303 patients was analyzed as 215(71%) patients were in age range 18-40 years, 88(29%) patients were in age range 41-65 years. 239(79%) patients were male and 64(21%) patients were female. More over 18(6%) patients had CSF leak while 285(94%) patients didn’t had CSF leak. Practical Implication: This study will be useful for finding the post-traumatic cerebrospinal fluid leak. Conclusion: Our study concludes that the frequencies of post-traumatic cerebrospinal fluid leak was 6% in patients presenting with traumatic brain injury. Keywords: Post-traumatic cerebrospinal fluid leak, traumatic brain injury.

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Surgically repaired posttraumatic CSF rhinorrhea: An institutional experience and review of literature

Cited by 4 publications

References 15 publications

Outcome of Endoscopic Repair of CSF Rhinorrhea with Endonasal Endoscopic Approach in terms of Success of Repair.

Outcome of Endoscopic Repair of CSF Rhinorrhea with Endonasal Endoscopic Approach in terms of Success of Repair.

Cerebrospinal Fluid Leak - Prevalence in Traumatic Head Injury at a Tertiary Care Center

To Evaluate the Frequencies of Post- Traumatic Cerebrospinal Fluid Leak in Patients Presenting with Traumatic Brain Injury

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