Fístula de líquido cefalorraquídeo recidivante postraumática asociada a meningocele esfenoidaltécnica abierta-endoscópica
- I. Zubillaga Rodríguez
- José Fernández Alén
- Gregorio Sánchez Aniceto
- J.J. Montalvo Moreno
ISSN: 1130-0558, 2173-9161
Datum der Publikation: 2012
Ausgabe: 34
Nummer: 4
Seiten: 172-179
Art: Artikel
Andere Publikationen in: Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial
Zusammenfassung
Introduction. Cerebrospinal fluid fistulas arise after the breakdown of the barriers that separate the nasal cavity and paranasal sinuses of the subarachnoid space, skull base, dura and arachnoid membrane. Approximately 80% arise in the context of craniofacial trauma with fractures of the skull base. The choice of approach, appropriate surgical technique in each case is essential to achieve a good overall surgical outcome. Development of endoscopic endonasal surgery has become a less invasive and effective therapeutic tool, with cerebrospinal fluid fistulas being a well-established indication for definitive treatment. Case report. A case of a patient with cerebrospinal fluid fistula associated with recurrent meningoencephalocele, treated endoscopically. Discussion. We discuss the surgical versus conservative treatment of spinal fluid fistulas, and the advantages and disadvantages of different types of approaches related to definitive management