| Autor: |
Francesco Paglia, Altamura C.F, D'Angelo L, Marzetti F, Sampirisi L, Santoro A |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Surgical Case Reports. :1-5 |
| ISSN: |
2613-5965 |
| DOI: |
10.31487/j.scr.2020.02.09 |
| Popis: |
The pathogenetic process of spontaneous CerebroSpinal Fluid (CSF) leaks in the middle cranial fossa has not been clearly identified yet. It is related to a tegmen defect associated to the presence of a simultaneous encephalocele or meningoencephalocele. The main complication of a CSF leak is meningitis, whose occurrence rate ranges from 4% to 50% according to different causes and conditions of the leak [1]. Surgical approaches to temporal bone reconstruction include middle cranial fossa (MCF) craniotomy, transmastoid (TM), or a combined (MCF/TM) approach. In our experience, we describe 2 cases of patients who presented with CSF rhinorrhea and meningoencephaloceles correlated with conductive hearing loss and meningitis. The MCF approach is a considerable way to successful repair CSF leaks and encephaloceles due to tegmen tympani and dural defects. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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