Successful Endoscopic Repair of Persistent Cerebrospinal Fluid Leak Following Attempted Transcranial Repair

Alan Siu; Rishi Vashishta; Joseph F. Goodman; Fabio Roberti; Ameet Singh

doi:10.1055/s-0032-1328957

Journal of Neurological Surgery Part A: Central European Neurosurgery, Table of Contents

J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e107-e110
DOI: 10.1055/s-0032-1328957

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Successful Endoscopic Repair of Persistent Cerebrospinal Fluid Leak Following Attempted Transcranial Repair

Alan Siu

¹Department of Neurological Surgery, George Washington University, Washington, DC, United States

,

Rishi Vashishta

²George Washington University School of Medicine and Health Sciences, Washington, DC, United States

,

Joseph F. Goodman

³Division of Otolaryngology–Head and Neck Surgery, George Washington University, Washington, DC, United States

,

Fabio Roberti

¹Department of Neurological Surgery, George Washington University, Washington, DC, United States

,

Ameet Singh

³Division of Otolaryngology–Head and Neck Surgery, George Washington University, Washington, DC, United States

› Author Affiliations

Abstract

Endoscopic techniques have become the preferred approach to address cerebrospinal fluid (CSF) leaks in the skull base, as they offer a minimally invasive method to directly visualize and repair the defect. The alternative technique of open craniotomy can still be considered for cases refractory to endoscopic repair; however, few studies have investigated the potential benefits of endoscopic repair for cases of persistent leaks after attempted transcranial repair. We report two such cases of successful long-term endoscopic repair of a persistent CSF leak, and demonstrate that endoscopic repair is a viable option to salvage an unsuccessful intracranial repair.

Keywords

cerebrospinal fluid leak - endoscopy - minimally invasive

Full Text

References

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