Diagnosis and treatment of cerebrospinal fluid rhinorrhea following accidental traumatic anterior skull base fractures

Mateo Ziu, Jennifer Gentry Savage, David F. Jimenez

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Cerebrospinal fluid rhinorrhea is a serious and potentially fatal condition because of an increased risk of meningitis and brain abscess. Approximately 80% of all cases occur in patients with head injuries and craniofacial fractures. Despite technical advances in the diagnosis and management of CSF rhinorrhea caused by craniofacial injury through the introduction of MRI and endoscopic extracranial surgical approaches, difficulties remain. The authors review here the pathophysiology, diagnosis, and management of CSF rhinorrhea relevant exclusively to traumatic anterior skull base injuries and attempt to identify areas in which further work is needed.

Original languageEnglish (US)
Article numberE3
JournalNeurosurgical focus
Volume32
Issue number6
DOIs
StatePublished - Jun 1 2012

Keywords

  • Cerebrospinal fluid rhinorrhea
  • Craniomaxillofacial trauma
  • Dural repair
  • Endoscopic surgery
  • Head trauma
  • Meningitis
  • Skull base fracture

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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