Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea
Objectives/Hypothesis To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO). Study Design Case series with chart review at a tertiary care academic medical center following institutional review board approval. Methods A re...
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| Veröffentlicht in: | The Laryngoscope 2014-01, Vol.124 (1), p.251-254 |
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| creator | Allen, Kyle P. Perez, Carlos L. Kutz, J. Walter Gerecci, Deniz Roland, Peter S. Isaacson, Brandon |
| description | Objectives/Hypothesis
To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO).
Study Design
Case series with chart review at a tertiary care academic medical center following institutional review board approval.
Methods
A retrospective review was performed of patients undergoing operative repair of SCSFO between January 2007 and May 2012.
Results
Thirty‐eight patients underwent operative repair of SCSFO. Of these, 22 underwent postoperative lumbar puncture with measurement of opening pressure. The opening pressure was elevated (> 20 cm/H20) in eight patients (36.4%). Preoperative magnetic resonance imaging was available for review by a neuroradiologist in 27 patients. Radiographic evidence of elevated intracranial pressure (ICP) was present in 48.1% of patients.
Conclusion
Elevated ICP is common in patients with SCSFO. However, as only a minority of patients have elevated ICP, it is not the sole factor in the development of SCSFO.
Level of Evidence
4. Laryngoscope, 124:251–254, 2014 |
| doi_str_mv | 10.1002/lary.24251 |
| format | Article |
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To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO).
Study Design
Case series with chart review at a tertiary care academic medical center following institutional review board approval.
Methods
A retrospective review was performed of patients undergoing operative repair of SCSFO between January 2007 and May 2012.
Results
Thirty‐eight patients underwent operative repair of SCSFO. Of these, 22 underwent postoperative lumbar puncture with measurement of opening pressure. The opening pressure was elevated (> 20 cm/H20) in eight patients (36.4%). Preoperative magnetic resonance imaging was available for review by a neuroradiologist in 27 patients. Radiographic evidence of elevated intracranial pressure (ICP) was present in 48.1% of patients.
Conclusion
Elevated ICP is common in patients with SCSFO. However, as only a minority of patients have elevated ICP, it is not the sole factor in the development of SCSFO.
Level of Evidence
4. Laryngoscope, 124:251–254, 2014</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.24251</identifier><identifier>PMID: 23775147</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Cerebrospinal fluid otorrhea ; Cerebrospinal Fluid Otorrhea - etiology ; Cerebrospinal Fluid Otorrhea - surgery ; Female ; Humans ; idiopathic intracranial hypertension ; Intracranial Hypertension - complications ; Intracranial Hypertension - epidemiology ; Male ; Medical research ; Middle Aged ; Prevalence ; Retrospective Studies</subject><ispartof>The Laryngoscope, 2014-01, Vol.124 (1), p.251-254</ispartof><rights>2013 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3951-42b510debad855527482412cfeccfb17177dbe0c4269e43fe01fc57d5f12a9d43</citedby><cites>FETCH-LOGICAL-c3951-42b510debad855527482412cfeccfb17177dbe0c4269e43fe01fc57d5f12a9d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.24251$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.24251$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23775147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allen, Kyle P.</creatorcontrib><creatorcontrib>Perez, Carlos L.</creatorcontrib><creatorcontrib>Kutz, J. Walter</creatorcontrib><creatorcontrib>Gerecci, Deniz</creatorcontrib><creatorcontrib>Roland, Peter S.</creatorcontrib><creatorcontrib>Isaacson, Brandon</creatorcontrib><title>Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis
To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO).
Study Design
Case series with chart review at a tertiary care academic medical center following institutional review board approval.
Methods
A retrospective review was performed of patients undergoing operative repair of SCSFO between January 2007 and May 2012.
Results
Thirty‐eight patients underwent operative repair of SCSFO. Of these, 22 underwent postoperative lumbar puncture with measurement of opening pressure. The opening pressure was elevated (> 20 cm/H20) in eight patients (36.4%). Preoperative magnetic resonance imaging was available for review by a neuroradiologist in 27 patients. Radiographic evidence of elevated intracranial pressure (ICP) was present in 48.1% of patients.
Conclusion
Elevated ICP is common in patients with SCSFO. However, as only a minority of patients have elevated ICP, it is not the sole factor in the development of SCSFO.
Level of Evidence
4. Laryngoscope, 124:251–254, 2014</description><subject>Adult</subject><subject>Aged</subject><subject>Cerebrospinal fluid otorrhea</subject><subject>Cerebrospinal Fluid Otorrhea - etiology</subject><subject>Cerebrospinal Fluid Otorrhea - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>idiopathic intracranial hypertension</subject><subject>Intracranial Hypertension - complications</subject><subject>Intracranial Hypertension - epidemiology</subject><subject>Male</subject><subject>Medical research</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LHTEYhYO01FvbjT9ABtyUwmjefEwmSxFrWy4tiKV2FTKZdzA6d2ZMMrX---Z21IWLrgLJcw4nDyH7QI-AUnbc2_BwxASTsENWIDmUQmv5iqzyIy9rya52ydsYbygFxSV9Q3YZV0qCUCtyddbjb5uwLfyQgnXBDt72xRQwxjlgvi0mmzwOKRb3Pl0XcRqHZAcc51g4DNiEMU5-yJmun31bjGkM4RrtO_K6s33E94_nHvnx6ezy9HO5_n7-5fRkXTquZV7KGgm0xca2tZSSKVEzAcx16FzXgAKl2gapE6zSKHiHFDonVSs7YFa3gu-RD0vvFMa7GWMyGx8d9v2y0YDQVEkhQWf08AV6M84hT99Sla6poBXL1MeFcvlnMWBnpuA3WbEBara-zda3-ec7wwePlXOzwfYZfRKcAViAe9_jw3-qzPrk4tdTablkfEz45zljw62pFFfS_Px2buCrrquLWhjB_wI2J5rW</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Allen, Kyle P.</creator><creator>Perez, Carlos L.</creator><creator>Kutz, J. Walter</creator><creator>Gerecci, Deniz</creator><creator>Roland, Peter S.</creator><creator>Isaacson, Brandon</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201401</creationdate><title>Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea</title><author>Allen, Kyle P. ; Perez, Carlos L. ; Kutz, J. Walter ; Gerecci, Deniz ; Roland, Peter S. ; Isaacson, Brandon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3951-42b510debad855527482412cfeccfb17177dbe0c4269e43fe01fc57d5f12a9d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cerebrospinal fluid otorrhea</topic><topic>Cerebrospinal Fluid Otorrhea - etiology</topic><topic>Cerebrospinal Fluid Otorrhea - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>idiopathic intracranial hypertension</topic><topic>Intracranial Hypertension - complications</topic><topic>Intracranial Hypertension - epidemiology</topic><topic>Male</topic><topic>Medical research</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allen, Kyle P.</creatorcontrib><creatorcontrib>Perez, Carlos L.</creatorcontrib><creatorcontrib>Kutz, J. Walter</creatorcontrib><creatorcontrib>Gerecci, Deniz</creatorcontrib><creatorcontrib>Roland, Peter S.</creatorcontrib><creatorcontrib>Isaacson, Brandon</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allen, Kyle P.</au><au>Perez, Carlos L.</au><au>Kutz, J. Walter</au><au>Gerecci, Deniz</au><au>Roland, Peter S.</au><au>Isaacson, Brandon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2014-01</date><risdate>2014</risdate><volume>124</volume><issue>1</issue><spage>251</spage><epage>254</epage><pages>251-254</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO).
Study Design
Case series with chart review at a tertiary care academic medical center following institutional review board approval.
Methods
A retrospective review was performed of patients undergoing operative repair of SCSFO between January 2007 and May 2012.
Results
Thirty‐eight patients underwent operative repair of SCSFO. Of these, 22 underwent postoperative lumbar puncture with measurement of opening pressure. The opening pressure was elevated (> 20 cm/H20) in eight patients (36.4%). Preoperative magnetic resonance imaging was available for review by a neuroradiologist in 27 patients. Radiographic evidence of elevated intracranial pressure (ICP) was present in 48.1% of patients.
Conclusion
Elevated ICP is common in patients with SCSFO. However, as only a minority of patients have elevated ICP, it is not the sole factor in the development of SCSFO.
Level of Evidence
4. Laryngoscope, 124:251–254, 2014</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23775147</pmid><doi>10.1002/lary.24251</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Cerebrospinal fluid otorrhea Cerebrospinal Fluid Otorrhea - etiology Cerebrospinal Fluid Otorrhea - surgery Female Humans idiopathic intracranial hypertension Intracranial Hypertension - complications Intracranial Hypertension - epidemiology Male Medical research Middle Aged Prevalence Retrospective Studies |
| title | Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea |
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