1. The relationship between spontaneous cerebrospinal fluid leak and idiopathic intracranial hypertension.
- Author
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Nguyen DT, Helleringer M, Klein O, Jankowski R, and Rumeau C
- Subjects
- Cerebrospinal Fluid Leak etiology, Cerebrospinal Fluid Leak surgery, Endoscopy, Humans, Cerebrospinal Fluid Rhinorrhea etiology, Cerebrospinal Fluid Rhinorrhea surgery, Intracranial Hypertension etiology, Pseudotumor Cerebri complications
- Abstract
Surgical treatment of spontaneous cerebrospinal fluid (CSF) leak is now performed by ENT surgeons, endonasal endoscopy being preferred to craniotomy as less invasive. However, it is often the symptom of underlying idiopathic intracranial hypertension, which lies outside the traditional sphere of ENT competence. Surgery is a necessary step, but should not obscure the need to treat the underlying pathology. This treatment is complex, and requires multidisciplinary team-work between otorhinolaryngologist, ophthalmologist, neurologist, neurosurgeon, radiologist, dietician, endocrinologist and psychotherapist. The present update details this multidisciplinary management to which the ENT surgeons must be attentive before and after spontaneous CSF leak repair., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)
- Published
- 2021
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