AI Article Synopsis
- The report details a case of a 39-year-old woman with a spontaneous cerebrospinal fluid (CSF) leak from the jugular foramen, which was successfully repaired through a surgical approach known as infralabyrinthine.
- During the surgery, techniques like intrathecal fluorescein and stereotactic navigation were utilized to accurately locate the defect and ensure a successful repair.
- Post-surgery, the patient had no recurrence of the CSF leak after four months, highlighting the effectiveness of these advanced surgical methods in treating rare CSF leaks.
Article Abstract
Objective: This report describes a case of a spontaneous cerebrospinal fluid leak at the jugular foramen that was surgically repaired via the infralabyrinthine approach with adjunct use of intrathecal fluorescein and stereotactic navigation.
Patients: A 39-year-old woman presenting with clear otorrhea confirmed to be cerebrospinal fluid (CSF) emanating from a defect in the jugular foramen.
Intervention: Surgical repair of the skull base defect using an infralabyrinthine approach to the jugular foramen. During surgery, intrathecal fluorescein and stereotactic navigation were used to localize the defect and confirm a successful repair.
Main Outcome Measure: Recurrence of a CSF leak.
Results: The defect was successfully repaired using the techniques described, resulting in cessation of the patient's CSF leak. There was no recurrence of the CSF leak up to a 4-month postoperative outpatient follow-up.
Conclusions: Diagnosis and repair of spontaneous otogenic CSF leaks in an uncommon location like the jugular foramen are challenging. This report demonstrates the successful use of the infralabyrinthine approach for control of a CSF from the jugular foramen. In addition, use of techniques, such as intrathecal fluorescein and stereotactic navigation that are not routinely used in otology and neurotology allowed for safe, effective repair of the leak in this case.
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