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Traumatic, Spontaneous and Postoperative CSF Rhinorrhea

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Advances and Technical Standards in Neurosurgery

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 11))

Abstract

The paper is based on the experiences which have been collected and analyzed from a total of 237 cases in the Neurosurgical Departments at the University Clinics La Pitié, Paris, and Homburg/Saar. The senior authors are the Heads of these Departments. Both Departments have different traditions according to the different history of French and German neurosurgery. As might be expected the senior authors did not agree on all points. The divergencies of opinions and policies have not been concealed but considered important and openly discussed in our paper in order to give an as large a view as possible. In the end we feel that with regard to rhinorrhea the old proverb remains true, more than one road leads to Rome.

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References

  1. Andrioli, G. C, Ruberti, R., 1966: La rinoliquorrea spontanea. Chir. Ital. 18, 383–398.

    PubMed  CAS  Google Scholar 

  2. Bergstrand, G., Bergström, M., Eriksen, L., Edner, G., Widen, L., 1982: Positron emission tomography with 68Gy-EDTA in the diagnosis and localization of CSF fistulas. J. Comp. Assist. Tomogr. 6, 320–324.

    Article  CAS  Google Scholar 

  3. Brawley, B. W., Kelly, W, A., 1967: Treatment of basal skull fractures with and without cerebrospinal fluid fistulae. J. Neurosurg. 26, 57–61.

    Article  PubMed  CAS  Google Scholar 

  4. Coleman, C, Trolard, C, 1974: The surgical treatment of spontaneous cerebrospinal rhinorrhea. Ann. Surg. 125, 718–728.

    Article  Google Scholar 

  5. Cooper, P. R., 1982: Skull fracture and traumatic cerebro-spinal fluid fistulas in head injury (Copper, P. R., ed.), pp. 65–82. Baltimore-London: Williams and Wilkins.

    Google Scholar 

  6. Dandy, W. E., 1926: Pneumocephalus (intracranial pneumatocele or aerocele). Arch. Surg. 12, 949–982.

    Google Scholar 

  7. Dandy, W. E., 1944: Treatment of rhinorrhea and otorrhea. Arch. Surg. 49, 75–85.

    Google Scholar 

  8. Danoff, D., Serbu, J., French, L., 1966: Encephalocele extending into the sphenoid sinus. Report of a case. J. Neurosurg. 24, 684–686.

    Article  PubMed  CAS  Google Scholar 

  9. Di Chiro, G., Reames, P. M., 1964: Isotopic localization of cranionasal cerebrospinal fluid leaks. J. Nucl. Med. 5, 376.

    Google Scholar 

  10. Di Chiro, G., Reames, P. M., Matthews, W. B., Jr., 1964: RISA-ventricu-lography and RISA-cisternography. Neurology 14, 185–191.

    Google Scholar 

  11. Di Chiro, G., Grove, A. S., Jr., 1966: Evaluation of surgical and spontaneous cerebrospinal fluid shunts by isotope scanning. J. Neurosurg. 24, 743–748.

    Article  PubMed  Google Scholar 

  12. Di Chiro, G., Ommaya, A. K., Ashburn, W. L., Briner, W. H., 1968: Isotope cisternography in the diagnosis and following of cerebrospinal fluid rhinorrhea. J. Neurosurg. 28, 522–529.

    Article  PubMed  Google Scholar 

  13. Dietz, H., 1970: Die frontobasale Schädelhirnverletzung. Berlin-Heidelberg-New York: Springer.

    Google Scholar 

  14. Divitiis de, E., Spaziante, R., Stella, L., 1981: Empty sella and benign intrasellar cysts. In: Advances and Technical Standards in Neurosurgery, Vol. 8 (Krayenbühl, H., et al, eds.). Wien-New York: Springer.

    Google Scholar 

  15. Dohrmann, G. J., Patronas, N. J., Duda, E. E., Mullan, S., 1979: Cerebrospinal fluid rhinorrhea: Localization of dural fistulae using metrizamide, hypocycloidal tomography and computed tomography. Surg. Neurol. 11, 373–377.

    PubMed  CAS  Google Scholar 

  16. Drayer, B. P., Wilkins, R. H., Boehnke, M., Horton, J. A., Rosenbaum, A. E., 1977: Cerebrospinal fluid rhinorrhea demonstrated by metrizamide CT cister-nography. A.J.R. 129, 149–151.

    CAS  Google Scholar 

  17. Drayer, B. P., Rosenheim, A. E., Higman, H. B., 1977: Cerebrospinal fluid imaging using serial metrizamide CT cisternography. Neuroradiology 13, 7–17.

    Article  PubMed  CAS  Google Scholar 

  18. Drayer, B. P., Rosenbaum, A. E., 1978: Studies of the third circulation: Amipaque CT cisternography and ventriculography. J. Neurosurg. 48, 946–956.

    Article  PubMed  CAS  Google Scholar 

  19. Einhorn, A., Mizrahi, E. M., 1978: Basilar skull fractures in children. The incidence of CNS infection and the use of antibiotics. Am. J. Dis. Child. 132, 1121–1124.

    PubMed  CAS  Google Scholar 

  20. Gateholt, H., 1964: The reaction of glucose. Oxidase test paper in normal nasal secretion. Acta Otolaryngol. 58, 111–272.

    Article  Google Scholar 

  21. Greenblatt, S. H., Wilson, D. H., 1973: Persistent cerebrospinal fluid rhinorrhea treated by lumboperitoneal shunt. Technical note. J. Neurosurg. 38, 524–526.

    Article  PubMed  CAS  Google Scholar 

  22. Guegan, Y., Adam, Y., Duplessis, Y., 1975: Une rhinorrhée spontanée d’étiologie rare. Neuro-Chirurgie (Paris) 21, 507–514.

    CAS  Google Scholar 

  23. Hooper, A. C, 1971: Sphenoidal defects—a possible cause of cerebrospinal fluid rhinorrhea. J. Neurol. Neurosurg. Psychiatry 34, 739–742.

    Article  PubMed  CAS  Google Scholar 

  24. Ignelzi, R. J., Van der Ark, C. D., 1975: Analysis of the treatment of basilar skull fractures with and without antibiotics. J. Neurosurg. 43, 111–726.

    Google Scholar 

  25. Jakumeit, H.-D., 1971: Neuroblastoma of the olfactory nerve. Acta Neurochir. (Wien) 25, 99–108.

    Article  CAS  Google Scholar 

  26. Jefferson, A., Reilly, G., 1972: Fractures of the floor of the anterior cranial fossa. The selection of patients for dural repair. Br. J. Surg. 59, 585–592.

    Article  PubMed  CAS  Google Scholar 

  27. Jordan, R., Kendal, J., Kerber, C, 1977: The primary empty sella syndrome. Am. J. Med. 62, 569–580.

    Article  PubMed  CAS  Google Scholar 

  28. Klastersky, J., Sodeghi, M., Brihaye, N., 1976: Antimicrobial prophylaxis in patients with rhinorrhea or otorrhea: a double-blind study. Surg. Neurol. 6, 111–114.

    PubMed  CAS  Google Scholar 

  29. Klastersky, J., Kahan-Coppens, L., Brihaye, J., 1979: Infection in neurosur-gery. In: Advances and Technical Standards in Neurosurgery, Vol.6 (Krayenbühl, H., et al, eds.). Wien-New York: Springer.

    Google Scholar 

  30. Landolt, A. M., Strebel, P., 1980: Technique of transsphenoidal operation for pituitary adenomas. In: Advances and Technical Standards in Neurosurgery, Vol.7 (Krayenbühl, H., et al, eds.). Wien-New York: Springer.

    Google Scholar 

  31. Laun, A., 1982: Traumatic cerebrospinal fluid fistulas in the anterior and middle cranial fossa. Acta Neurochir. (Wien) 60, 215–222.

    Article  CAS  Google Scholar 

  32. Lewin, W., Cairns, H., 1951: Fractures of the sphenoidal sinus with cerebrospinal rhinorrheas. Br. Med. J. 1, 1–6.

    Article  PubMed  CAS  Google Scholar 

  33. Lewin, W., 1954: Cerebro-spinal fluid rhinorrhea in closed head injuries. Brit. J. Surg. 42, 1–18.

    Article  PubMed  CAS  Google Scholar 

  34. Little, J., Houser, O., MacGarty, C, 1975: Clinical manifestation of aqueductal stenosis in adults. J. Neurosurg. 43, 546–552.

    Article  PubMed  CAS  Google Scholar 

  35. MacGee, E., Cauthen, J. C, Brackett, C. E., 1970: Meningitis following acute traumatic cerebro-spinal fluid fistula. J. Neurosurg. 33, 312–316.

    Article  PubMed  CAS  Google Scholar 

  36. MacGee, E. E., 1976: Cerebro-spinal fluid fistula. In: Handbook Clinical Neurology, Vol.24, pp. 183–199. Amsterdam-Oxford: North-Holland Publ. Co.

    Google Scholar 

  37. Manelfe, C, Guirand, B., Tremulet, M., 1977: Diagnosis of CSF rhinorrhea by computerized cisternography using metrizamide. Lancet 2 (Letter), 1073.

    Article  PubMed  CAS  Google Scholar 

  38. Manelfe, C, Guirand, B., Espagno, J., 1978: Cisternographie computérisée au metrizamide. Rev. Neurol. 134, 471–484.

    PubMed  CAS  Google Scholar 

  39. Miller, C, 1826: Case of hydrocephalus chronicus, with some unusual symptoms and appearances on dissection. Trans, med-chir. Soc. Edinb. 2, 243.

    Google Scholar 

  40. Mincy, J. E., 1966: Posttraumatic cerebro-spinal fluid fistula of the frontal fossa. J. Trauma 6, 618–622.

    Article  PubMed  CAS  Google Scholar 

  41. Naidich, T. P., Moran, C. J., 1980: Precise anatomic localization of a traumatic sphenoethmoidal cerebrospinal fluid rhinorrhea by metrizamide CT cisternography. J. Neurosurg. 53, 222–228.

    Article  PubMed  CAS  Google Scholar 

  42. Nori, A., Carteri, A., 1964: Rinoliquorrea. Trattamento e resultati a distanza. Chir. Ital. 16, 161–164.

    PubMed  CAS  Google Scholar 

  43. Oberson, R., 1976: La détection des fuites de liquide céphalorachidien par gammacisternographie. Neurochir. 22, 397–409.

    CAS  Google Scholar 

  44. Ommaya, A. K., 1976: Spinal fluid fistula. J. Neurosurg. 23, 363–392.

    CAS  Google Scholar 

  45. Pertuiset, B., Metzger, J., 1973: Les rhinorrhées paradoxales par dislocations axiales traumatiques de l’étage antérieur. Neurochir. 20, 21–24.

    Google Scholar 

  46. Pertuiset, B., 1974: Supratentorial craniotomy. In: Advances and Technical Standards in Neurosurgery, Vol. 1 (Krayenbühl, H., et al, eds.). Wien-New York: Springer.

    Google Scholar 

  47. Price, D. J. E., Sleigh, J. D., 1970: Control of infection due to Klebsiella aerogenes in a neurosurgical unit by withdrawal of all antibiotics. Lancet 4, 1213–1215.

    Article  Google Scholar 

  48. Raaf, J., 1967: Post-traumatic cerebro-spinal fluid leaks. Arch. Surg. 95, 648–651.

    PubMed  CAS  Google Scholar 

  49. Ray, B. S., Bergland, R. M., 1969: Cerebrospinal fluid fistula: Clinical aspects, techniques of localization, and methods of closure. J. Neurosurg. 30, 399–405.

    Article  PubMed  CAS  Google Scholar 

  50. Robert, A., 1847: Mémoire sur la nature de l’écoulement aqueux très abondant qui accompagne certaines fractures du crane. Mem. Sor. Chir. 1, 563–615.

    Google Scholar 

  51. Rousseaux, P., Scherpereel, B., 1981: Fractures de l’étage antérieur. Notre attitude thérapeutique ä propos de 1254 cas sur une série de 11 200 traumatismes craniens. Neurochir. 27, 15–19.

    CAS  Google Scholar 

  52. Rovit, R., Schechter, M., Nelson, K., 1969: Spontaneous high pressure cerebrospinal rhinorrhea due to lesions obstructing flow of cerebrospinal fluid. J. Neurosurg. 30, 406–412.

    Article  PubMed  CAS  Google Scholar 

  53. Sawicka, I. H., Trosser, A., 1983: Cerebro-spinal fluid. Rhinorrhea after cocain sniffing. Brit. Med. J. (Clin. Res.) 283, 1476–1477.

    Article  Google Scholar 

  54. Spetzler, R. F., Wilson, C. B., 1978: Management of recurrent CSF rhinorrhea of the middle and posterior fossa. J. Neurosurg. 49, 393–397.

    Article  PubMed  CAS  Google Scholar 

  55. Tillaux, P. J., 1877: Traité d’anatomie topographique avec applications à la chirurgie. Paris.

    Google Scholar 

  56. Tönnis, W., 1948: Sollen die Verletzungen der vorderen Schädelbasis operativ versorgt werden? Chirurg 19, 13–15.

    PubMed  Google Scholar 

  57. Tönnis, W., 1948: Die Chirurgie des Gehirns und seiner Häute. In: Die Chirurgie, Bd. III, 2. Aufl. (Kirschner-Nordmann, Hrsg.), pp. 453–880. Wien: Urban und Schwarzenberg.

    Google Scholar 

  58. Vigouroux, R. P., 1971: Rhinorrhées spontanées d’origine tumorale. Neurochir. 19, 245–294.

    Google Scholar 

  59. Visot, A., Cophignon, J., Derome, P., 1979: Rhinorrhée cérébrospinale. A propos de 140 observations. Ann. Chir. (Paris) 33, 319–327.

    CAS  Google Scholar 

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Loew, F., Pertuiset, B., Chaumier, E.E., Jaksche, H. (1984). Traumatic, Spontaneous and Postoperative CSF Rhinorrhea. In: Symon, L., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 11. Springer, Vienna. https://doi.org/10.1007/978-3-7091-7015-1_6

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  • DOI: https://doi.org/10.1007/978-3-7091-7015-1_6

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