[Methods of identification and localization of ethmoid and sphenoid osteomeningeal breaches].
The accurate localization of cerebrospinal fluid (CSF) fistula presenting as rhinorrhea is an essential requirement for successful dural repair, in order to eliminate unsuccessful surgical exploration, and to achieve a definitive closure of the osteo-dural defect. The authors report their experience in 22 patients, and propose a simplified attitude: realization of high resolution CT scan in all cases, in first choice, and a MRI with MR cysternography sequences, in second choice, in case of negative CT scan.
Schmerber
S
S
CHU de Grenoble, Clinique ORL, BP 217, F-38043 Grenoble, France. Sebastien.Schmerber@imag.fr
Boubagra
K
K
Cuisnier
O
O
Righini
C
C
Reyt
E
E
D000328:Adult; D000368:Aged; D000465:Algorithms; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D002946:Cisterna Magna / Q000000981:diagnostic imaging*; D003663:Decision Trees; D004724:Endoscopy / Q000379:methods / Q000592:standards; D005005:Ethmoid Sinus; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods* / Q000592:standards; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D013101:Sphenoid Sinus; D014057:Tomography, X-Ray Computed / Q000379:methods* / Q000592:standards