Abstract
Background: Cerebrospinal fluid (CSF) leaks result from an abnormal communication between the subarachnoid space and the extracranial space. Leaks that occur at the anterior skull base may manifest with postural headaches, clear rhinorrhea, and a salty metallic taste. They can occur (1) as a poor outcome of a prior sinus or nasal surgery, (2) as the result of trauma, or (3) spontaneously without known cause. The condition can become life-threatening if not evaluated expeditiously. The majority of leaks encountered at our institution were repaired with endoscopic sinus surgery (ESS). The aim of this presentation is to consider our experience over a 6-year period, to evaluate various diagnostic and radiographic modalities prior to repair, and to evaluate the outcomes in patients who underwent an endoscopic repair of CSF leaks of the anterior skull base.
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More From: Journal of Neurological Surgery Part B: Skull Base
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