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Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea
Ist Teil von
The Laryngoscope, 2014-01, Vol.124 (1), p.251-254
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2014
Link zum Volltext
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
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