Cerebrospinal Fluid Leak

Cerebrospinal fluid leaks occur in 1.4% of injuries involving the temporal bone.29 The great majority

Temporal Bone Graft

6k tensive loss, Ly in panic and proximal vertical segment

Pointer Lo interposition graft

FIGURE 18-5 (A) Donor graft in place through the middle fossa approach. (B) Graft through the translabyr-inthine approach.

6k tensive loss, Ly in panic and proximal vertical segment

Pointer Lo interposition graft

FIGURE 18-5 (A) Donor graft in place through the middle fossa approach. (B) Graft through the translabyr-inthine approach.

resolve spontaneously with conservative measures within a few days. Patients present with rhinorrhea or, if the tympanic membrane has been perforated, otorrhea. In addition, patients may complain of associated headaches. Meningitis represents the primary risk in persistent CSF leak. In a series of 1800 patients, Canniff29 found that 20% of patients with CSF leak resulting from temporal bone trauma developed meningitis.

Generally, head elevation and placement of a lumbar subarachnoid drain suffice. Prophylactic use of antibiotics is controversial. Although some argue that antibiotics in this setting decrease the instance of meningitis, others believe that they may mask the progression of meningitis, resulting in a worse neurologic outcome. Nonetheless, antibiotic administration is recommended if a subarachnoid drain is to be placed. To minimize risk of contamination, usually from Staphylococcus aureus, the drain is removed at 5 days. By this time the leak usually has sealed. If CSF leak recurs after removal of the subarachnoid drain, then a new drain is placed and surgery can be carried out when the patient is neurologically stable.

Was this article helpful?

0 0
Midsection Meltdown

Midsection Meltdown

Attention, Want 6 Pack Abs? Then Read Every Word On This Page... Revealed! Follow A Proven Plan To Unveil Your Six Pack Abs Today. Download today To Discover The Simple But Sure Way To 6 Pack Abs. This powerful tool will provide you with everything you need to finally achieve your dream of shedding the tummy fat for good and revealing your six pack abs. You can make weight loss promises to yourself all day and night, but actually sticking to your goals is the hard part.

Get My Free Ebook


Post a comment