CSF gusher in a radiologically normal middle and inner ear anatomy

Abstract

Introduction: Cochlear implantation is the most acceptable procedure in rehabilitating a child with profound hearing disability who has gained no benefit from hearing aids. Cerebro-spinal fluid (CSF) gusher from the cochleostomy site is the most common complication faced intra-operatively, however it has been rarely reported in cases with normal radiological anatomy. Case Report: We present a 4 year old boy taken up for right cochlear implantation for congenital bilateral profound sensorineural hearing loss. A severe CSF gusher was noticed which was identified and successfully managed. Conclusion: CSF gusher can be seen in cases with normal radiology and hence surgeons must anticipate the same. Meticulous handing and a systematic approach can help us control the leak and also have good surgical outcomes. Keywords: CSF gusher, CSF leak, Cochlear implantation.