"Cerebrospinal fluid rhinorrhoea"

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                            1
                            2023Rhinology
                            Aetiology of cerebrospinal fluid rhinorrhoea in a Dutch retrospective cohort from two tertiary referral centres. Cerebrospinal fluid (CSF) rhinorrhoea has different aetiologies, with spontaneous leaks related to female gender and obesity. Limited data is available on patient characteristics and surgical outcomes across different aetiologies of CSF leaks in relatively non-obese populations
                            2
                            Cerebrospinal fluid rhinorrhoea: does fibrin glue change the surgical outcome? Cerebrospinal fluid rhinorrhoea takes place when there is a breakdown of the barriers separating the nasal cavity from the subarachnoid space. The aim of this study was to assess the surgical outcomes of endoscopic transnasal cerebrospinal fluid leak repair with and without fibrin glue. There were 43 patients with cerebrospinal fluid rhinorrhoea who underwent surgery for cerebrospinal fluid leak repair between 2014 and 2018. Patients were divided into group A, where fibrin glue was used, and group B, where fibrin glue was not used. It was found that 74.4 per cent of cases were due to spontaneous cerebrospinal fluid leak. The most common site of a leak was the cribriform plate (65 per cent). There was a success rate
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                            3
                            2018BMJ case reports
                            Recurrent meningitis caused by idiopathic cerebrospinal fluid rhinorrhoea from the sphenoid sinus
                            4
                            Spontaneous cerebrospinal fluid rhinorrhoea with meningitis secondary to ecchordosis physaliphora. Transclival CSF fistulae are rare. We report a 40-year-old female who presented with meningitis after a short history of CSF rhinorrhoea. The defect resulted from the rare notochordal remnant, ecchordosis physaliphora (EP), and was successfully resected and repaired endoscopically.
                            5
                            2017Biochemia medica
                            Tau protein as a possible marker of cerebrospinal fluid leakage in cerebrospinal fluid rhinorrhoea: A pilot study The management of posttraumatic cerebrospinal fluid (CSF) rhinorrhoea remains a clinical challenge. Cerebrospinal fistula is a dural defect responsible for possible CSF leakage into the contiguous air-filled cavities located at the skull base. The risk of central nervous system
                            6
                            Cerebrospinal fluid rhinorrhoea following transsphenoidal surgery for pituitary adenoma: experience in a Chinese centre The aim of this study was to elucidate the risk factors for cerebrospinal fluid (CSF) rhinorrhoea following transsphenoidal surgery and discuss its prevention and treatments. We retrospectively reviewed 474 consecutive cases of pituitary adenoma treated with 485 transsphenoidal
                            7
                            An Empirical Approach to the Diagnosis and Treatment of Cerebrospinal Fluid Rhinorrhoea: An Optimised Method for Developing Countries We aimed to test a new approach for repairing cerebrospinal fluid (CSF) leaks and to determine the demographic, diagnostic, and treatment factors associated with the successful management of intracranial complication. Owing to the high frequency of endoscopic
                            8
                            2014BMJ case reports
                            Spontaneous cerebrospinal fluid rhinorrhoea: a rare clinical entity
                            9
                            2013Rhinology
                            Optimising outcomes in the management of spontaneous cerebrospinal fluid rhinorrhoea. To describe our experience of the management of spontaneous cerebrospinal fluid (CSF) rhinorrhoea in a large case series focusing on surgical approach, peri-operative management and outcomes; to evaluate the efficacy of endoscopic CSF leak repairs. Retrospective chart review was performed for all patients
                            10
                            Cerebrospinal fluid rhinorrhoea after nasal packing for epistaxis: case report. We report a case of traumatic cerebrospinal fluid rhinorrhoea following nasal packing with a Rapid Rhino inflatable balloon pack, as treatment for epistaxis. Case report and review of the literature regarding this complication. A thorough literature search was performed using PubMed. To our best knowledge, there have been no previous reports of cerebrospinal fluid rhinorrhoea following nasal packing. In our case, cerebrospinal fluid leakage occurred due to fracture of the middle turbinate at its superior skull base insertion. The cerebrospinal fluid leak resolved spontaneously without the need for surgical intervention. This case report highlights not only the need for an appreciation of sinonasal anatomy
                            11
                            Cerebrospinal fluid rhinorrhoea as a complication of endoscopic endonasal reduction of blowout fractures. Unless the orbital contents are supported, the insertion of nasal packing material during endoscopic endonasal surgery may cause serious intracranial complications such as cerebrospinal fluid leakage. Case report and literature review. We report a patient with iatrogenic cerebrospinal fluid rhinorrhoea caused by intracranial entry of a Silastic sheet inserted into the nasal cavity. This skull defect and the surrounding skull base were successfully reconstructed in a multilayer fashion via an endoscopic endonasal approach. This case highlights the need for caution when inserting nasal packing material. During endoscopic endonasal reduction of blowout fractures, great care must be taken
                            12
                            Cerebrospinal fluid rhinorrhoea revealing an unusual ethmoido-sphenoidal foreign body. Foreign bodies in the transnasal ethmoido-sphenoidal sinus are uncommon. We present a case of unilateral rhinorrhoea caused by a foreign body which had been lodged in the ethmoido-sphenoidal sinus for 38 years. A 40-year-old woman presented with unilateral rhinorrhoea. Computed tomography showed a foreign body
                            13
                            2021American College of Radiology
                            Trip Score
                            NarrativeNarrative based
                            EvidenceEvidence based
                            ?
                            14
                            2017BMJ Best Practice
                            * risk factors * open fracture * palpable discrepancy in bone contour * Battle's sign * periorbital ecchymosis * bloody otorrhoea * cerebrospinal fluid rhinorrhoea * facial paralysis, nystagmus, or paraesthesiaFull detailsOther diagnostic factors * evidence of trauma * cranial pain or headache * nausea/vomiting * altered mental state/loss of consciousness * abnormal pupillary reflexes * hearing
                            15
                            Meningoencephalitis following Le Fort I osteotomy: a case report. Le Fort I osteotomies, although they are common procedures, carry a degree of risk of injury to the surrounding structures. Skull base fractures and cerebrospinal fluid rhinorrhoea are amongst the most serious on the list of complications. This is the first reported case of meningoencephalitis post Le Fort I osteotomy, shedding
                            16
                            2017American College of Radiology
                            Trip Score
                            NarrativeNarrative based
                            EvidenceEvidence based
                            ?
                            17
                            of previously undiagnosed ecchordosis physaliphora presenting with cerebrospinal fluid rhinorrhoea and meningitis. Endoscopic transclival or transsphenoid surgery including three-layer (fat, fascia and nasoseptal flap) reconstruction was used in all cases with complete resolution of the symptoms.
                            18
                            not necessarily arise in the midline, they are unaffected by the Valsalva manoeuvre and they do not transilluminate. Intranasal gliomas may mimic nasal polyps (unilateral mass or obstruction). Other presentations include epistaxis and cerebrospinal fluid rhinorrhoea. Investigation is with CT and MRI scanning. Management is surgical and removal has to be complete to prevent recurrence. Intracranial lesions
                            19
                            Double seal technique to obliterate the eustachian tube orifice: a novel method for the treatment of recalcitrant cerebrospinal fluid leak. To demonstrate a novel and effective surgical technique for the treatment of refractory cerebrospinal fluid rhinorrhoea after skull base surgery. The novel surgical technique is described and the findings of a review of relevant world English-language publications are reported. A 44-year-old woman, otherwise fit and well, presented with more than a 2-year history of right-sided facial pain. A diagnosis of classical trigeminal neuralgia was made. Surgical treatment was undertaken with a retromastoid suboccipital craniotomy. Post-operatively, the patient showed signs of right-sided cerebrospinal fluid rhinorrhoea which was recalcitrant. In light
                            20
                            2018FP Notebook
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