Endoscopic endonasal transpterygoid approach for reduction of a lateral recess encephalocele with postoperative cerebrospinal fluid leak

[...]we recommend immediate postoperative bed rest and ongoing acetazolamide for our patients following surgical repair of spontaneous cerebrospinal fluid leaks of the anterior skull base. Ensure appropriate preparation of the nasoseptal flap recipient site by skeletonising the skull base, including removal of residual bony edges and removal of sphenoid sinus mucosa. Surgical management of sphenoid sinus lateral recess cerebrospinal fluid leaks: a single neurosurgical center analysis of endoscopic endonasal minimal transpterygoid approach.