Innovations in the Treatment of Spinal Cerebrospinal Fluid Leaks.

Autor: Zappi K; Weill Cornell Medical College, New York, New York, USA., Giantini-Larsen A; Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA., Yan J; Department of Radiology, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA., Konate M; Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA., Garton ALA; Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA., Knopman J; Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA., Stieg PE; Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA., Salama G; Department of Radiology, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA., Park JK; Department of Neurological Surgery, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA; Department of Neurological Surgery, NewYork-Presbyterian Queens Hospital, Queens, New York, USA. Electronic address: jkp9004@med.cornell.edu.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Jul; Vol. 187, pp. 304-312.
DOI: 10.1016/j.wneu.2024.03.112
Abstrakt: Spontaneous spinal cerebrospinal fluid (CSF) leaks are uncommon but can be neurologically debilitating. When initial treatments fail, definitive repair or closure of the leak is indicated. Depending upon the type of leak present, innovative strategies for their treatment have been developed. Among them are open surgical techniques using a transdural approach for the closure of ventral CSF leaks, minimally invasive tubular techniques for the reduction and repair of lateral meningeal diverticula, and endovascular embolization of CSF-venous fistulas. Illustrative cases demonstrating the indications for and implementation of these techniques are provided.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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