The Localisation of Cerebrospinal-Fluid Fistulæ

Crow, H. J.; Keogh, C.; Northfield, D. W. C.

doi:10.1016/s0140-6736(56)92188-2

Cited by 55 publications

(13 citation statements)

References 6 publications

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“…However, this contrast medium causes meningeal irritation. In 1956 (Crow, Keogh, and Northfield, 1956), the use of radioactive sodium (Na24) was suggested. This tracer was injected into the cisterna magna and cotton pledgets ('patties'), conveniently distributed in the walls and roof of the nose and nasopharynx and upon the openings of the Eustachian tubes, were afterwards examined with a counter.…”

Section: Discussionmentioning

confidence: 99%

Non-traumatic cerebrospinal fluid rhinorrhoea.

Ommaya¹,

Chiro²,

Baldwin³

et al. 1968

Journal of Neurology, Neurosurgery & Psychiatry

326

158

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Section: Discussionmentioning

confidence: 99%

Non-traumatic cerebrospinal fluid rhinorrhoea.

Ommaya¹,

Chiro²,

Baldwin³

et al. 1968

Journal of Neurology, Neurosurgery & Psychiatry

326

158

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“…many radioactive based methods of identi fying CSF fistulac of the skull base were develped. Hence, Crow et al [6] used radioactive sodium, Sinanan et al [37] radioactive arsenic. Dietz et al [7], Kline et al [18], Mealey [25], Salar et al [35] |3IJ-human serum-albumin.…”

Section: Csf Tracingmentioning

confidence: 99%

Efficiency of Various Methods of Identifying Cerebrospinal Fluid in Oto- and Rhinorrhea

Oberascher¹,

Arrer²

1986

ORL

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This paper describes methods of cerebrospinal fluid (CSF) leakage diagnosis which have been used in the post-war period. We have listed advantages and disadvantages and given our opinion as to the value of each method. In the form of comparison we have provided a detailed breakdown of the exact procedure of β₂ -transferrin identification used for the immunological diagnosis of CSF leakage. This method, which was developed further by us, is discussed with regard to the results of all sample analysis which have been carried out so far. The result of the discussion is to emphasize the many advantages of this method. In addition, there is a direct comparison made between the fluorescein method and the use of β₂-transferrin.

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“…I n patients whose watery nasal discharge is of doubtful origin isotope studies may be necessary. Crow, Keogh, and Northfield (1956) originally proposed the use of 24Na, but the substance more commonly used at present is 1311 (see, for example, Dietz, 1970). We have not felt the need to use this method extensively.…”

Section: Clinical Presentationmentioning

confidence: 99%

Fractures of the floor of the anterior cranial fossa. The selection of patients for dural repair

Jefferson

Reilly

1972

Journal of British Surgery

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1. A series of 87 patients operated on because of subfrontal fractures is reported. In 73 of these a fistulous lesion (connecting the brain with the nose or the accessory air sinuses) was displayed and was repaired. Almost always a bifrontal exploration has been made, because the lesions were bifrontal in 43 per cent of cases. The mean follow‐up period was 4 years; to date no instances of postoperative meningitis or rhinorrhoea have occurred. 2. Our experience suggests that cerebrospinal rhinorrhoea accompanying fractures of the facial bones (without fractures of the skull vault) can safely be treated conservatively. 3. Damaged brain adheres to the lips of the torn dura and permanently prevents natural healing, thereby creating a continuing threat to life. Consequently it is recommended that all frontal fractures lying below the hairline and all comminuted anterior temporal fractures should be referred for expert neurosurgical/neuroradiological assessment. This is because 42 per cent of the patients requiring operative repair were selected after tomographic studies of the anterior fossa; they had not presented with the classic criteria of cerebrospinal rhinorrhoea, intracranial air, or meningitis.

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The Localisation of Cerebrospinal-Fluid Fistulæ

Cited by 55 publications

References 6 publications

Non-traumatic cerebrospinal fluid rhinorrhoea.

Non-traumatic cerebrospinal fluid rhinorrhoea.

Efficiency of Various Methods of Identifying Cerebrospinal Fluid in Oto- and Rhinorrhea

Fractures of the floor of the anterior cranial fossa. The selection of patients for dural repair

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