Subtotal petrosectomy in the treatment of cerebrospinal fluid fistulae of the lateral skull base.

Abstract:

:Cerebrospinal fluid (CSF) fistulae almost invariably lead to meningitis, even in the absence of other clinically obvious sequelae of the fistula such as a CSF fluid leak. The only effective means of reducing the risk of meningitis is surgical closure of the fistula. If surgery is to be recommended to patients with CSF fistulae even if they are currently asymptomatic, the morbidity of the procedure must be a principal determinant of the chosen technique. Recovery after the extracranial approach to a CSF fistula is much more rapid than after an intracranial procedure. The extracranial route is also free of the long-term risk of epilepsy which accompanies a craniotomy. The principal disadvantage of the lateral extracranial approach, failure of treatment, has been largely eliminated following studies into the obliteration of simple bony cavities using free adipose grafts. This paper describes our use of the extracranial approach to closure of CSF fistulae of the lateral skull base.

journal_name

Br J Neurosurg

authors

Hamilton JW,Foy PM,Lesser TH

doi

10.1080/02688699745646

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

496-500

issue

6

eissn

0268-8697

issn

1360-046X

journal_volume

11

pub_type

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