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Traumatic Cerebrospinal Fluid Leak: Diagnosis and Management

Oh JW, Kim SH, Whang K

Cerebrospinal fluid (CSF) leaks are one of the common complications after traumatic brain injuries (TBI). The risks of CSF leaks can be detrimental to the outcomes of the patients. Early...
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A Case of Frontoethmoidal Mucopyocele Combined with Cerebrospinal Fluid Leak and Complicated Tension Pneumocephalus after Marsupialization

Kim SH, Jung J, Mun SJ, Roh HJ

After the trauma of frontoethmoidal sinus, post-traumatic mucocele may occur. Surgical removal of the lesions rarely produces cerebrospinal fluid (CSF) leakage and even delayed tension pneumocephalus. We experienced a case...
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Iatrogenic Development of Cerebrospinal Fluid Leakage in Diagnosing Spontaneous Intracranial Hypotension

Lee CJ, Shim SM, Cho SH, Park JH, Kim YK

A 34-year-old woman came to the emergency room complaining of a severe orthostatic headache. Results of a cerebrospinal fluid tap and brain computed tomography were normal. Based on her history...
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Endoscopic Repair with Above and Below Technique of Recurrent Cerebrospinal Fluid Leak from the Posterior wall of Frontal Sinus: Case Report

Lim J, Cho YH, Kim KR, Cho SH

Cerebrospinal fluid (CSF) rhinorrhea can be caused by head trauma, brain or sinus surgery, or neoplastic sinonasal disease. There are many diverse techniques for repairing skull base defects, and recently...
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Traumatic cerebrospinal fluid leakage following septorhinoplasty

Youssef A, Ahmed S, Ibrahim AA, Daniel M, Abdelfattah HM, Morsi H

Septoplasty/septorhinoplasty is a common ear, nose and throat procedure offered for those patients with deviated septum who are suffering from nasal obstruction and functional or cosmetic problems. Although it is...
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Visual and Quantitative Analysis of Cisternography for the Detection of Cerebrospinal Fluid Leakage

Choi EK, Oh JK, Park SY, Yoo I, Kim DH, Chung YA

We herein present a case of a 29-year-old man with clear rhinorrhea, which persisted for 8 years following a myringotomy. After cotton pledgets were placed in several different regions of...
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Incarceration of Spinal Nerve Root through Incidental Durotomy as a Cause of Sciatica

Kim YJ

Incidental durotomies are a frequent complication during spinal surgery. Cerebrospinal fluid (CSF) leakage from a dural tear may be visually apparent intraoperatively, but occasionally, a tear may not be recognized...
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Indirect Repair with Surgicel® and Fibrin Glue for Postoperative Cerebrospinal Fluid Leakage after Cervical Anterior Foraminotomy: A Case Report

Choi DH, Lee JW, Kim CH, Choi YS

STUDY DESIGN: A case report. OBJECTIVES: To report a case of indirect repair of cerebrospinal fluid (CSF) leakage after cervical anterior foraminotomy using Surgicel® and fibrin glue. SUMMARY OF LITERATURE REVIEW: There...
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Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery

Ropper AE, Huang KT, Ho AL, Wong JM, Nalbach SV, Chi JH

OBJECTIVE: Patients with extradural spine tumors are at an increased risk for intraoperative cerebrospinal fluid (CSF) leaks and postoperative wound dehiscence due to radiotherapy and other comorbidities related to systemic...
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Usefulness of Inferior Turbinate Bone-Periosteal-Mucosal Composite Free Graft for Cerebrospinal Fluid Leakage

Baek K, Kim J, Moon Y, Kim CH, Yoon JH, Cho HJ

BACKGROUND AND OBJECTIVES: Endoscopic repair of cerebrospinal fluid (CSF) leak can avoid morbidity of open approaches and has shown a favorable success rate. Free mucosal graft is a good method,...
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Utilization of the Nasoseptal Flap for Repair of Cerebrospinal Fluid Leak after Endoscopic Endonasal Approach for Resection of Pituitary Tumors

Kessler RA, Garzon-Muvdi T, Kim E, Ramanathan M, Lim M

BACKGROUND: One of the most frequent complications after endoscopic endonasal approach (EEA) for resection of pituitary tumors is cerebrospinal fluid (CSF) leaks. With the introduction of the pedicled nasoseptal flap,...
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Neurological Symptoms of Intracranial Hypotension

Kang K, Kim BK

Intracranial hypotension usually arises in the context of known or suspected leak of cerebrospinal fluid (CSF). This leakage leads to a fall in intracranial CSF pressure and CSF volume. The...
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Proper Management of Posttraumatic Tension Pneumocephalus

Kwon J, Rha HK, Park HK, Chough CK, Joo WI, Cho SH, Gu W, Moon W, Han J

Pneumocephalus is commonly seen after craniofacial injury. The pathogenesis of pneumocephalus has been debated as to whether it was caused by ball valve effect or combined episodic increased pressure within...
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Pneumocephalus and Pneumorrhachis due to a Subarachnoid Pleural Fistula That Developed after Thoracic Spine Surgery

Lee GS, Lee MK, Kim WJ, Kim HS, Kim JH, Kim YS

Development of a communication between the spinal subarachnoid space and the pleural space after thoracic spine surgery is uncommon. Subarachnoid pleural fistula (SAPF), a distressing condition, involves cerebrospinal fluid leakage....
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Cerebrospinal Fluid Leakage after Surgeries on the Thoracic Spine: A Review of 362 Cases

Hu P, Yu M, Liu X, Liu Z, Jiang L, Wei F, Chen Z

STUDY DESIGN: A retrospective clinical review. PURPOSE: To describe the incidence of cerebrospinal fluid leakage (CSFL) after thoracic decompression and examine the CSFL predisposing clinical factors. OVERVIEW OF LITERATURE: CSFL is a...
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Subfrontal Schwannoma Extended Broadly to Nasal Cavity Treated by Gamma Knife Radiosurgery Following Surgical Excision: A Case Report

Kim SH, Lee JH, Sung SK, Choi CH

Subfrontal schwannomas are rarely reported. They are usually found only in the subfrontal area, but some extend to the nasal cavity. In these cases, prevention of postoperative cerebrospinal fluid (CSF)...
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Modified two flap palatoplasty in asymptomatic transsphenoidal encephalocele: a case report

Richardson S, Khandeparker RV, Raghuvaram AK, Mohan R

About one-third of patients with transsphenoidal basal encephaloceles have associated congenital anomalies, including cleft palate. Moreover, they are often plagued by symptomatic exacerbations in the form of upper respiratory obstructions,...
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Repair of Inaccessible Ventral Dural Defect in Thoracic Spine: Double Layered Duraplasty

Lee DH, Kim KT, Park JI, Park KS, Cho DC, Sung JK

We propose a double layered (intradural and epidural patch) duraplasty that utilizes Lyoplant and Duraseal. We examined a 47-year-old woman after decompression for thoracic ossification of posterior longitudinal ligament was...
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Cervical Cerebrospinal Fluid Leakage Concomitant with a Thoracic Spinal Intradural Arachnoid Cyst

Han S, Choi SW, Park BS, Lim JW, Kim SH, Youm JY

We encountered a very rare case of spontaneous spinal cerebrospinal fluid (CSF) leakage and a spinal intradural arachnoid cyst (AC) that were diagnosed at different sites in the same patient....
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Complex Anterior Skullbase Fracture Caused by a Bottle Cap: A Case Report and Review of the Literature

Cho J, Kim JH, Hong SD

We report a case of foreign body presence in the ethmoid sinus cavity with anterior skull base fracture and visual loss. A 42-year-old male had an uncertain history of trauma...
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