Adult spontaneous cerebrospinal fluid otorrhea. Report of two cases and review of the literature
Spontaneous cerebrospinal fluid otorrhea is a relatively rare entity and can be easily missed in adults. Every adult older than 50 years with a negative history of otologic disease who has recurrent serous otitis media should be evaluated for this pathology. Meningitis is the most serious complicati...
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| Veröffentlicht in: | Neurocirugía (Asturias, Spain) Spain), 2011-04, Vol.22 (2), p.150-156 |
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| container_title | Neurocirugía (Asturias, Spain) |
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| creator | Galbarriatu, L Aurrecoechea, J Ruiz de Gopegui, E Pomposo, I Bilbao, G González, S Undabeitia, J I Novo, J J Aguirrebengoa, K Garibi, J M |
| description | Spontaneous cerebrospinal fluid otorrhea is a relatively rare entity and can be easily missed in adults. Every adult older than 50 years with a negative history of otologic disease who has recurrent serous otitis media should be evaluated for this pathology. Meningitis is the most serious complication, so there is no doubt that the condition needs immediate attention and correction.
We present two patients who were diagnosed with spontaneous CSF otorrhea and make a review of what is reported about this topic.
Surgical repair is mandatory to seal these nontraumatic CSF leaks. There are two main surgical approaches, the middle fossa craniotomy and the transmastoid approach. A multilayered closure technique in which autologous and artificial materials are combined is considered to result in the highest rate of success. |
| format | Article |
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We present two patients who were diagnosed with spontaneous CSF otorrhea and make a review of what is reported about this topic.
Surgical repair is mandatory to seal these nontraumatic CSF leaks. There are two main surgical approaches, the middle fossa craniotomy and the transmastoid approach. A multilayered closure technique in which autologous and artificial materials are combined is considered to result in the highest rate of success.</description><identifier>ISSN: 1130-1473</identifier><identifier>PMID: 21597656</identifier><language>spa</language><publisher>Spain</publisher><subject>Adult ; Cerebrospinal Fluid Otorrhea - diagnosis ; Cerebrospinal Fluid Otorrhea - etiology ; Cerebrospinal Fluid Otorrhea - surgery ; Female ; Humans ; Male ; Otitis Media with Effusion - surgery ; Tomography, X-Ray Computed</subject><ispartof>Neurocirugía (Asturias, Spain), 2011-04, Vol.22 (2), p.150-156</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21597656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Galbarriatu, L</creatorcontrib><creatorcontrib>Aurrecoechea, J</creatorcontrib><creatorcontrib>Ruiz de Gopegui, E</creatorcontrib><creatorcontrib>Pomposo, I</creatorcontrib><creatorcontrib>Bilbao, G</creatorcontrib><creatorcontrib>González, S</creatorcontrib><creatorcontrib>Undabeitia, J I</creatorcontrib><creatorcontrib>Novo, J J</creatorcontrib><creatorcontrib>Aguirrebengoa, K</creatorcontrib><creatorcontrib>Garibi, J M</creatorcontrib><title>Adult spontaneous cerebrospinal fluid otorrhea. Report of two cases and review of the literature</title><title>Neurocirugía (Asturias, Spain)</title><addtitle>Neurocirugia (Astur)</addtitle><description>Spontaneous cerebrospinal fluid otorrhea is a relatively rare entity and can be easily missed in adults. Every adult older than 50 years with a negative history of otologic disease who has recurrent serous otitis media should be evaluated for this pathology. Meningitis is the most serious complication, so there is no doubt that the condition needs immediate attention and correction.
We present two patients who were diagnosed with spontaneous CSF otorrhea and make a review of what is reported about this topic.
Surgical repair is mandatory to seal these nontraumatic CSF leaks. There are two main surgical approaches, the middle fossa craniotomy and the transmastoid approach. A multilayered closure technique in which autologous and artificial materials are combined is considered to result in the highest rate of success.</description><subject>Adult</subject><subject>Cerebrospinal Fluid Otorrhea - diagnosis</subject><subject>Cerebrospinal Fluid Otorrhea - etiology</subject><subject>Cerebrospinal Fluid Otorrhea - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Otitis Media with Effusion - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>1130-1473</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kElPwzAUhH0A0VL4C8g3TkF-sZ3lWFVsUiUkBOfw4ryoQU4cvFDx71laTiONPo1m5oQtAaTIQJVywc5DeBdCyUKLM7bIQddloYsle1t3yUYeZjdFnMilwA15ar0L8zCh5b1NQ8dddN7vCG_4M83OR-56HveOGwwUOE4d9_Q50P7P3xG3QySPMXm6YKc92kCXR12x17vbl81Dtn26f9yst9kMSsSsN1AIkFrXWiujc8K6KxXVv51R5QbqHrEyraBKtQgGJJSqVVAWrakrreWKXR9yZ-8-EoXYjEMwZO1hVVOVuc61gOqHvDqSqR2pa2Y_jOi_mv9T5Dfw6l1s</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Galbarriatu, L</creator><creator>Aurrecoechea, J</creator><creator>Ruiz de Gopegui, E</creator><creator>Pomposo, I</creator><creator>Bilbao, G</creator><creator>González, S</creator><creator>Undabeitia, J I</creator><creator>Novo, J J</creator><creator>Aguirrebengoa, K</creator><creator>Garibi, J M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201104</creationdate><title>Adult spontaneous cerebrospinal fluid otorrhea. Report of two cases and review of the literature</title><author>Galbarriatu, L ; Aurrecoechea, J ; Ruiz de Gopegui, E ; Pomposo, I ; Bilbao, G ; González, S ; Undabeitia, J I ; Novo, J J ; Aguirrebengoa, K ; Garibi, J M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p140t-fc16013559554c52ea9d74e90043a42c19faa8cb0e84ba1c13174b4176bc98553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Cerebrospinal Fluid Otorrhea - diagnosis</topic><topic>Cerebrospinal Fluid Otorrhea - etiology</topic><topic>Cerebrospinal Fluid Otorrhea - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Otitis Media with Effusion - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Galbarriatu, L</creatorcontrib><creatorcontrib>Aurrecoechea, J</creatorcontrib><creatorcontrib>Ruiz de Gopegui, E</creatorcontrib><creatorcontrib>Pomposo, I</creatorcontrib><creatorcontrib>Bilbao, G</creatorcontrib><creatorcontrib>González, S</creatorcontrib><creatorcontrib>Undabeitia, J I</creatorcontrib><creatorcontrib>Novo, J J</creatorcontrib><creatorcontrib>Aguirrebengoa, K</creatorcontrib><creatorcontrib>Garibi, J M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Neurocirugía (Asturias, Spain)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Galbarriatu, L</au><au>Aurrecoechea, J</au><au>Ruiz de Gopegui, E</au><au>Pomposo, I</au><au>Bilbao, G</au><au>González, S</au><au>Undabeitia, J I</au><au>Novo, J J</au><au>Aguirrebengoa, K</au><au>Garibi, J M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adult spontaneous cerebrospinal fluid otorrhea. Report of two cases and review of the literature</atitle><jtitle>Neurocirugía (Asturias, Spain)</jtitle><addtitle>Neurocirugia (Astur)</addtitle><date>2011-04</date><risdate>2011</risdate><volume>22</volume><issue>2</issue><spage>150</spage><epage>156</epage><pages>150-156</pages><issn>1130-1473</issn><abstract>Spontaneous cerebrospinal fluid otorrhea is a relatively rare entity and can be easily missed in adults. Every adult older than 50 years with a negative history of otologic disease who has recurrent serous otitis media should be evaluated for this pathology. Meningitis is the most serious complication, so there is no doubt that the condition needs immediate attention and correction.
We present two patients who were diagnosed with spontaneous CSF otorrhea and make a review of what is reported about this topic.
Surgical repair is mandatory to seal these nontraumatic CSF leaks. There are two main surgical approaches, the middle fossa craniotomy and the transmastoid approach. A multilayered closure technique in which autologous and artificial materials are combined is considered to result in the highest rate of success.</abstract><cop>Spain</cop><pmid>21597656</pmid><tpages>7</tpages></addata></record> |
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| ispartof | Neurocirugía (Asturias, Spain), 2011-04, Vol.22 (2), p.150-156 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Cerebrospinal Fluid Otorrhea - diagnosis Cerebrospinal Fluid Otorrhea - etiology Cerebrospinal Fluid Otorrhea - surgery Female Humans Male Otitis Media with Effusion - surgery Tomography, X-Ray Computed |
| title | Adult spontaneous cerebrospinal fluid otorrhea. Report of two cases and review of the literature |
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