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Recurrent Cerebrospinal Fluid Leaks and Meningoencephaloceles

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Revision Sinus Surgery

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Abstract

• Endoscopic repair of cerebrospinal fluid (CSF) leaks and meningoencephaloceles is largely successful, with rates of skull-base defect closure greater than 90%.

• Certain factors may increase the potential for recurrence of CSF leak or meningoencephalocele. Identification of such factors in the preoperative period allows the surgeon to alter treatment protocols accordingly.

• Diagnosis of recurrent CSF leaks and meningoencephaloceles often incorporates preoperative and intraoperative techniques. A combination of laboratory testing, radiologic imaging, and special procedures may be required to accurately diagnose the site of a skull-base defect.

• Surgical techniques for endoscopic repair of recurrent CSF leaks and meningoencephaloceles vary by the site and size of the skull-base defect, as well as surgeon experience. Certain types of recurrent CSF leaks and meningoencephaloceles may require additional perioperative measures for increased repair success.

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Authors and Affiliations

  1. Department of Otolaryngology, Medical University of South Carolina, 135 Rutledge Ave., Suite 1130, PO Box 250550, SC 29425, Charleston, SC, USA

    Sarah K. Wise, Richard J. Harvey & Rodney J. Schlosser

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  1. Sarah K. Wise
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  2. Richard J. Harvey
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  3. Rodney J. Schlosser
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Wise, S., Harvey, R., Schlosser, R. (2008). Recurrent Cerebrospinal Fluid Leaks and Meningoencephaloceles. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_20

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  • DOI: https://doi.org/10.1007/978-3-540-78931-4_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78930-7

  • Online ISBN: 978-3-540-78931-4

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