Document Detail

Cerebrospinal fluid dynamics and rhinorrhea: the role of shunting in repair.
MedLine Citation:
PMID:  6415587     Owner:  NLM     Status:  MEDLINE    
CSF rhinorrhea can have many causes: traumatic, neoplastic, and iatrogenic origins are common. Most traumatic rhinorrhea ceases after a trial of conservative management. While obvious erosion or traumatic destruction of vital structures may be the underlying cause, other pathophysiologic mechanisms may be working in the formation of CSF rhinorrhea, which may require the combined skills of the otolaryngologist and the neurosurgeon. Leakage of CSF is seen in "high-pressure rhinorrhea," a pathophysiologic state wherein the underlying problem is poor CSF resorption. The result is increased intracranial pressure and eventual rhinorrhea or otorrhea. Areas of CSF leakage correspond to sites of congenital weakness in the cribriform plate region, the parasellar region, or the temporal bone. Weak areas in old base-of-skull fracture sites may leak with increased intracranial pressure. The initial management should stress correction of the deranged pathophysiology, namely shunting. Surgical repair is secondary to controlling the abnormal CSF dynamics.
A Komisar; S Weitz; R J Ruben
Related Documents :
21456757 - Patterned anvils for high pressure measurements at low temperature.
3535347 - Studies of vasopressin in the human cerebrospinal fluid.
7808607 - Low-pressure hydrocephalic state and viscoelastic alterations in the brain.
864487 - Why does hydrocephalus progress?
2684227 - Glomerular hemodynamics in pathophysiologic conditions.
4927407 - Bacteriology of manganese nodules. v. effect of hydrostatic pressure on bacterial oxida...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  91     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-12-20     Completed Date:  1983-12-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  399-403     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cerebrospinal Fluid Rhinorrhea / etiology,  physiopathology,  surgery*
Cerebrospinal Fluid Shunts*
Intracranial Pressure
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Prognostic factors affecting the success of duckbill vocal restoration.
Next Document:  Conchal bowl and postauricular flaps for reconstruction of the external auditory canal.