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[SPONTANEOUS CEREBROSPINAL FLUID LEAK OF THE TEMPORAL BONE].

Authors :
Dror AA
Handzel O
Source :
Harefuah [Harefuah] 2023 Aug; Vol. 162 (7), pp. 457-464.
Publication Year :
2023

Abstract

Introduction: Spontaneous cerebrospinal fluid (CSF) leak into the temporal air spaces is a prominent risk factor for meningitis, often leading to debilitating neurological morbidities and even death. CSF leaks may arise due to trauma, congenital malformation, or surgery, but in most cases, they develop spontaneously. In spontaneous CSF leaks, no obvious triggering event is apparent in the patient's clinical history that points to this diagnosis, in contrast to some of the other etiologies. The clinical presentation of spontaneous CSF leaks is not unique and is characterized by patients' complaints, such as hearing loss and aural fullness. These symptoms are commonly associated with prevalent conditions, such as serous otitis media. For these reasons, a typical diagnostic delay of spontaneous CSF leaks, which can last for years in some cases, leaves the patients exposed to meningeal infection without being offered an efficient surgical treatment to keep them safe and protected.

Details

Language :
Hebrew
ISSN :
0017-7768
Volume :
162
Issue :
7
Database :
MEDLINE
Journal :
Harefuah
Publication Type :
Academic Journal
Accession number :
37561037