Cranial and Spinal Cerebrospinal Fluid Leaks: Foundations of Identification and Management.

Humans Cerebrospinal Fluid Leak / therapy Skull Base / surgery Neurosurgical Procedures / methods
CSF-venous fistula Cerebrospinal fluid leak Orthostatic headache Positional headache Skull base leak Spontaneous intracranial hypotension

Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
Jul 2024
Historique:
received: 18 03 2024
accepted: 19 03 2024
medline: 6 7 2024
pubmed: 6 7 2024
entrez: 6 7 2024
Statut: ppublish

Résumé

Cerebrospinal fluid (CSF) leaks may occur at the skull base or along the spinal column and can cause a variety of debilitating neurological symptoms for patients. Recognizing the potential presence of a CSF leak and then identifying its source are necessary for accurate diagnosis and definitive treatment. A standardized workflow can be followed for successful leak localization, which often requires several diagnostic studies, and for definitive leak treatment, which can range from minimally invasive, needle-based approaches to a variety of surgical corrections. This review paper provides an overview of epidemiology, pathophysiology, and diagnostic workup for CSF leaks and introduces available treatment options. An illustrative case of a skull base CSF leak demonstrating diagnosis and surgical correction is provided.

Identifiants

DOI: 10.1016/j.wneu.2024.03.111 PMID: 38970199
pubmed: 38970199
pii: S1878-8750(24)00497-2
doi: 10.1016/j.wneu.2024.03.111
pii:
doi:

Types de publication

Journal Article Review Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

288-293

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Auteurs

John K Chae (JK)

Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.

Kate Rosen (K)

Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.

Kyle Zappi (K)

Weill Cornell Medical College, New York, New York, USA.

Alexandra Giantini-Larsen (A)

Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.

Jenny Yan (J)

Department of Radiology, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.

Jeffrey Sung (J)

Department of Radiology, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.

Evan Bander (E)

Neurosurgery Department, MD Anderson Cancer Center, Houston, Texas, USA.

Theodore H Schwartz (TH)

Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.

John K Park (JK)

Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA; Department of Neurological Surgery, NewYork-Presbyterian Queens Hospital, Queens, New York, USA.

Gayle Salama (G)

Department of Radiology, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA. Electronic address: gkr9002@med.cornell.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Cranial and Spinal Cerebrospinal Fluid Leaks:...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Fuite de liquide cérébrospinal › Cranial and Spinal Cerebrospinal Fluid Leaks:...
questionsmedicales.fr › Appareil locomoteur › Squelette › Crâne › Base du crâne › Cranial and Spinal Cerebrospinal Fluid Leaks:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de neurochirurgie › Cranial and Spinal Cerebrospinal Fluid Leaks:...