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A novel multilayered membrane repair technique for high-flow cerebrospinal fluid leaks during expanded endoscopic endonasal tumor resection.
Am J Transl Res
November 2024
Department of Neurosurgery, Chongqing General Hospital, Chongqing University Chongqing 401147, China.
Article Synopsis
- Postoperative cerebrospinal fluid (CSF) leaks are serious complications that can occur after endoscopic skull base surgery, prompting the need for effective treatment strategies.
- This study examines a multilayered membrane reconstruction method used in 15 patients to address high-flow intraoperative CSF leaks during expanded endoscopic endonasal tumor resections from January 2019 to June 2023.
- The results showed no cases of postoperative CSF leakage or related complications after a median follow-up of 13 months, suggesting this technique may be a reliable option for watertight closure and indicating a need for further research.
A 64-year progression of an intradiploic epidermoid of the frontal skull: illustrative case.
J Neurosurg Case Lessons
December 2023
1Department of Neurosurgery, UKE Hamburg Eppendorf, Hamburg, Germany; and.
Background: Epidermoid cyst tumors can arise as intradiploic tumors in the frontal skull bones around the fontanel in childhood but are mostly found at the frontal or frontotemporal base of the brain or in the cerebellopontine angle. Therefore, finding a symptomatic intradiploic lesion in the convexity in late adulthood is uncommon. Intradiploic epidermoids can cause complications as they grow, by eroding and perforating their surroundings, and in cases of destruction of the wall of a pneumatized sinus, they can cause pneumocephalus.
View Article and Find Full Text PDFTandem cranial and spinal cerebrospinal fluid leaks presenting with otogenic tension pneumocephalus: illustrative case.
J Neurosurg Case Lessons
September 2023
1Division of Neurosurgery, House Institute, Los Angeles, California.
Article Synopsis
- Cranial and spinal CSF leaks function differently, with opposing fluid dynamics, indicating distinct causes for each type of leak.
- A 66-year-old woman experienced tension pneumocephalus linked to a CSF leak, requiring cranial surgery; however, she later developed positional headaches and imaging showed complications like subdural hematomas.
- It's crucial for doctors to be vigilant about signs of intracranial hypotension due to spinal leaks following surgical repairs for CSF leaks, especially in cases involving otogenic pneumocephalus.
Tension Pneumocephalus: A Potentially Fatal Complication of Expanded Endoscopic Endonasal Approach.
Indian J Otolaryngol Head Neck Surg
September 2023
Department of Otorhinolaryngology, Christian Medical College, Vellore, Tamil Nadu India.
While some volume of pneumocephalus occurs following any surgery entailing dural breach, tension pneumocephalus (TP) is a rare complication of endoscopic endonasal surgery described in less than 1% cases including expanded endoscopic endonasal approaches (EEEA). It is a neurosurgical emergency warranting urgent decompression. Two cases, who developed TP following EEEA are presented.
View Article and Find Full Text PDFAir travel with pneumocephalus: a systematic review.
Acta Neurochir (Wien)
September 2022
Department of Neurosurgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Introduction: Concerns arise when patients with pneumocephalus engage in air travel. How hypobaric cabin pressure affects intracranial air is largely unclear. A widespread concern is that the intracranial volume could relevantly expand during flight and lead to elevated intracranial pressure.
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