• In this situation, it must be differentiated from a spinal fluid leak from other areas of the skull base, such as the sinuses. (medscape.com)
  • Cerebrospinal Fluid Leak Rate after Vestibular Schwannoma Surgery via Middle Cranial Fossa Approach. (uc.edu)
  • Cases included spontaneous CSF leaks ( n = 1), complex traumatic frontoethmoidal fractures with suspected CSF leak ( n = 2), multiloculated congenital or acquired hydrocephalus ( n = 3), intraventricular tumor ( n = 1), suspected postoperative arachnoiditis ( n = 1), complex midline defect ( n = 1), and acquired orbital meningoencephalocele ( n = 1). (ajnr.org)
  • In suspected posttraumatic CSF leaks, the procedure established with precision the place of the leak in 1 patient and excluded it in the other. (ajnr.org)
  • In this study, we wish to highlight the existence of spontaneous CSF leak as an entity associated with hyper-pneumatized petrous bone and sphenoid sinus. (springeropen.com)
  • Cerebrospinal Fluid Leak" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (jefferson.edu)
  • This graph shows the total number of publications written about "Cerebrospinal Fluid Leak" by people in this website by year, and whether "Cerebrospinal Fluid Leak" was a major or minor topic of these publications. (jefferson.edu)
  • Below are the most recent publications written about "Cerebrospinal Fluid Leak" by people in Profiles. (jefferson.edu)
  • However, in the absence of such a defect, the fluid flows down the eustachian tube and manifests as a clear rhinorrhea. (medscape.com)
  • 2] Rarely, CSF rhinorrhea or otorrhea without any cause may occur in IIH/ PTCS. (jpgo.org)
  • A 26-year-old female patient with history of right rhinorrhea with imaging evidence of bilateral hyper-pneumatized petrous bones and a bony defect in the right petrous bone on computed tomography (CT). (springeropen.com)
  • A 49-year-old female patient with history of right rhinorrhea with features of hyper-pneumatization of sphenoid bone involving right greater wing of sphenoid bone and bilateral pterygoid process with a bony defect in the right greater wing of sphenoid was demonstrated on CT. (springeropen.com)
  • Discharge of cerebrospinal fluid through a hole through the skull bone most commonly draining from the nose (CEREBROSPINAL FLUID RHINORRHEA) or the ear (CEREBROSPINAL FLUID OTORRHEA). (jefferson.edu)
  • CSF rhinorrhoea may be spontaneous, traumatic, or congenital. (wikipedia.org)
  • Leakage of cerebrospinal fluid (CSF) though the ear structures is a rare but potentially life-threatening situation that requires rapid intervention. (medscape.com)
  • Even though a leakage of CSF is occurring through otologic structures, actual leakage of the fluid from the ear is not always present. (medscape.com)
  • Localization of an otogenic spinal fluid leakage is usually accomplished using imaging studies. (medscape.com)
  • This patient had cerebrospinal fluid otorrhea after mastoidectomy. (medscape.com)
  • Methods The authors conducted a retrospective review of 23 patients undergoing a combined mastoidectomy and middle cranial fossa craniotomy for the treatment of a tegmen defect. (medscape.com)
  • CSF otorrhea occurs only if a perforation in the eardrum or a defect in the external ear canal is present. (medscape.com)
  • Spontaneous CSF rhinorrhoea is the most common acquired defect in the skull base bones (anterior cranial fossa) causing spontaneous nasal liquorrhea. (wikipedia.org)
  • Spontaneous nontraumatic pneumocephalus is a rare condition, and its etiologies include bone defect, congenital malformation, tumor, and infection [ 1 ]. (encephalitisjournal.org)
  • Cerebro-spinal fluid otorrhea and a spontaneous defect of tegmen tympani or antri. (ent-review.com)
  • Testing the fluid for glucose level helps to distinguish spinal fluid from nasal secretions, which are low in glucose. (medscape.com)
  • Although not a primary treatment for CSF leaks, medication can often be used to decrease the production of spinal fluid. (medscape.com)
  • Spinal fluid leaks following acoustic neuroma surgery respond to this treatment 80% of the time. (medscape.com)
  • Persons who have been struck by lightning should be treated as trauma patients, with close attention to spinal immobilization. (medscape.com)
  • In 1 patient who underwent surgery for spinal cord neoplasm, the procedure excluded arachnoiditis. (ajnr.org)
  • It may be diagnosed using brain scans (prompted based on initial symptoms), and by testing to see if discharge from the nose is cerebrospinal fluid. (wikipedia.org)
  • If the patient continues to experience pain, dysesthesias, or other neurologic symptoms, referral to a neurologist or a pain specialist is appropriate. (medscape.com)
  • As per these, the patient manifests symptoms of high intracranial tension, but there is no neurodeficit, or high opening cerebrospinal fluid (CSF) pressure on lumbar tap. (jpgo.org)
  • Signs and symptoms depend on the location of the lesion and are related to mass effect, skull deformities, or leaking of cerebrospinal fluid. (beds.ac.uk)
  • If a patient has clear, colourless liquid leaking from the nose, then radiographs or CT scans may be used to look for a basilar skull fracture. (wikipedia.org)
  • Cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea) refers to the drainage of cerebrospinal fluid through the nose (rhinorrhoea). (wikipedia.org)
  • Other signs of a basilar skull fracture include CSF otorrhoea (drainage of CSF through the ear). (wikipedia.org)
  • To explore the clinical features, diagnosis, treatment outcomes, and prognosis of patients with malignant melanoma of the nasal cavity and paranasal sinuses. (sdu.edu.cn)
  • If respiratory arrest is prolonged and support is not provided, however, the patient may experience secondary cardiac arrhythmias that eventually deteriorate to ventricular fibrillation. (medscape.com)
  • RESULTS: The spinopelvic parameters, pelvic incidence, pelvic tilt and lumbar lordosis differed significantly in the patients with LSTV. (bvsalud.org)
  • It can have devastating complications in some patients, as the communication between the nasal cavity, the cerebrospinal fluid and the central nervous system can result in severe bacterial infections. (wikipedia.org)
  • A retrospective review was performed of 23 patients with malignant melanoma of the nasal cavity and paranasal sinuses treated between October 2007 and September 2018. (sdu.edu.cn)
  • Spontaneous CSF leaks may arise from defects in the skull base, in relation to the Tegmen tympani, Tegmen mastoideum, sigmoid sinus and posterior semicircular canal. (springeropen.com)
  • Object Thinning of the tegmen tympani and mastoideum components of the temporal bone may predispose to the development of meningoencephaloceles and spontaneous CSF leaks. (medscape.com)
  • Given that intracranial hypertension has been implicated as a significant factor in temporal encephalocele formation, [ 7 , 10-12 , 15 ] we hoped to clarify this correlation by reviewing a series of tegmen defects repaired surgically and the associated ICP measurements in these patients. (medscape.com)
  • Various contributory factors are attributed to formation of spontaneous CSF leaks such as idiopathic intracranial hypertension leading to prominent arachnoid granulations. (springeropen.com)
  • This case report highlights two cases of spontaneous CSF leaks associated with hyper-pneumatized petrous bone and sphenoid sinus. (springeropen.com)
  • Hyper-pneumatized petrous bone and paranasal sinuses can be attributed as a risk factor for formation of spontaneous CSF leaks. (springeropen.com)
  • Cerebrospinal fluid (CSF) fistulas are classified based on their etiology into congenital and acquired fistulas. (springeropen.com)
  • A retrospective study by Oh et al indicated that an association exists between CSF otorrhea and superior semicircular canal dehiscence (SSCD), finding that 21% of patients with CSF otorrhea had concurrent SSCD, compared with just 2% of controls. (medscape.com)
  • Further, presence of hyper-pneumatized paranasal sinuses or the skull base weakens the bone and predisposes to development of spontaneous defects and further fistulas. (springeropen.com)
  • These types of amniotic fluid-derived stem cellular material (AFSC) might provide an autologous mobile source for treatment of congenital problems identified through pregnancy, specially cardio defects. (pcna-signal.com)
  • Clinically patient appeared of appropriate built and nourishment for age and gender. (springeropen.com)
  • A 26-year-old female patient presented with history of right sided rhinorrhoea for 1 month. (springeropen.com)
  • In the other 3 patients with complex CSF-related diseases, the procedure showed distinctive radiologic findings for the understanding and treatment of the disease. (ajnr.org)
  • Altogether, in 8 patients, imaging findings influenced or changed clinical decisions and surgical planning. (ajnr.org)
  • Spontaneous cerebrospinal fluid (CSF) fistulas occur due to various reasons other than well-identified causes such as trauma, neoplasia or infection. (springeropen.com)
  • The presence of an abnormal communication of the sterile subarachnoid space with the flora of the sinonasal tract places the patient at great risk for meningitis. (medscape.com)
  • Although very rare, bacterial meningitis has also been reported as an infectious cause of spontaneous pneumocephalus [ 2 ]. (encephalitisjournal.org)
  • Outcomes in patients with mucosal melanomas[J]. J Surg Oncol, 2013, 108(8): 516-520. (sdu.edu.cn)
  • We report our experience with the intrathecal use of Gd-DTPA for MR cisternography and ventriculography in pediatric patients referred for study and treatment of complex CSF-related diseases. (ajnr.org)
  • Our preliminary results showed no side effects and potential useful clinical applications in the evaluation of CNS diseases involving the ventricular system or the subarachnoid space in selected pediatric patients. (ajnr.org)
  • Just about all Thirteen patients who underwent medical respiratory biopsies a good histopathologic prognosis The remaining 21 years old sufferers were identified by medical as well as radiologic characteristics. (pcna-signal.com)
  • Five patients underwent postoperative ventriculoperitoneal shunting. (medscape.com)
  • After the first report of Gd-DTPA for ventriculography in 2 adult patients with meningeal carcinomatosis, 3 several other cases were reported in personal communications and different publications. (ajnr.org)
  • Initially confining his practice to pediatric otolaryngology, his focus has most recently been on caring for adult patients with ear and hearing disorders. (bu.edu)
  • This will be a multi-center, proof of concept phase 0 study to assess the suppression of p-AKT in Vestibular Schwannoma (VS) and meningiomas by AR-42 in adult patients undergoing tumor resection. (stanford.edu)
  • Unless the source is obvious, such as in a case of recent surgery or trauma, attempt to document that the draining fluid is in fact CSF. (medscape.com)
  • Patients requiring surgery for any reason after a lightning injury should have adequate intravenous (IV) access and cardiac monitoring throughout the procedure. (medscape.com)
  • Orthopedic surgery plays a key role in the treatment of the polytraumatized patient. (medscape.com)
  • In addition, fluid collection in the left middle ear cavity and mastoid air cells was observed on brain MRI and CT ( Figure 1C ), and otoscopic examination confirmed acute otitis media on the left. (encephalitisjournal.org)
  • If the patient is breathing spontaneously, listen to the quality of the breathing. (medscape.com)
  • Subsequently, the patient was successfully treated with cystoscopy-guided renal pelvic instillation sclerotherapy of povidone-iodine. (bvsalud.org)
  • E. cloacae was isolated from both blood and otorrhea cultures, and the patient was successfully treated with intravenous ceftazidime for 3 weeks. (encephalitisjournal.org)
  • Patients with dysrhythmia who traditionally have a poor prognosis (eg, those with asystole) may occasionally recover. (medscape.com)
  • Angioplasty is considered the treatment of choice in appropriately selected patients. (bvsalud.org)
  • After treatment, the patients were followed-up for 6 months to 10 years. (sdu.edu.cn)
  • It might be why these sediment biological materials just weren't strong adequate (complete depth 1126-1527 m) to acquire obligate piezophiles.Atypical antipsychotics are getting to be a broadly utilised component of the particular bipolar disorder treatment armamentarium, together with around 45% of the illness patients approved atypicals. (pcna-signal.com)
  • Most lightning patients do not require aggressive fluid resuscitation, alkalinization of the urine, or transfer to burn units. (medscape.com)
  • Chyluria is a rare entity characterised by the presence of chyle/lymphatic fluid within the urine. (bvsalud.org)
  • Middle Cranial Fossa Approach to Vestibular Schwannoma Resection in the Older Patient Population. (uc.edu)
  • Early Experience With Telemedicine in Patients Undergoing Otologic/Neurotologic Procedures. (uc.edu)
  • See Clinical Presentation for more specific information on patient history and physical examination for Bell palsy. (medscape.com)
  • This is dangerous in trauma patients because it may exacerbate a cervical spine injury. (medscape.com)
  • No patient showed biologic, behavioral, or neurologic alterations. (ajnr.org)
  • The chin of the patient is lifted superiorly, hyperextending the neck and opening the airway. (medscape.com)
  • Immediate attention should be directed to the resuscitation of those patients in respiratory or cardiac arrest. (medscape.com)
  • OBJECTIVE: The objective of this study was to evaluate spinopelvic parameters in patients with lumbosacral transitional vertebra and to compare them with the same parameters of low back ache patients without lumbosacral transitional vertebra. (bvsalud.org)
  • METHODS: This was a cross-sectional and comparative study conducted among low back ache patients presenting to our tertiary care center. (bvsalud.org)
  • 4 , 13 After a pilot study in human patients that included only adults, the safety and feasibility of a low dose of intrathecal gadolinium administration was shown. (ajnr.org)
  • 14 Finally, a multicenter study was developed that included young patients. (ajnr.org)
  • The effectiveness of epidural blood patch in patients with cerebral palsy treated with intrathecal baclofen implantation. (jefferson.edu)
  • A neuropsychological battery may be helpful for patients who develop neurocognitive (eg, memory, processing, endurance, sleep disorders) problems. (medscape.com)
  • Results The average body mass index (BMI) among all patients was 33.2 ± 7.2 kg/m 2 . (medscape.com)
  • The subject of CSF otorrhea covers a broad range of potential pathologies. (medscape.com)
  • Ten patients (range, 1 month-16 years of age) were selected after we obtained specific informed consent. (ajnr.org)