Spontaneous cerebrospinal fluid leak at the clivus

Krzysztof Oleś; Jacek Składzien; Marek Betlej; Robert Chrzan; Joanna Mika

doi:10.5114/wiitm.2015.55676

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abstract:

Case report

Spontaneous cerebrospinal fluid leak at the clivus

Krzysztof Oleś

,

Jacek Składzien

,

Marek Betlej

,

Robert Chrzan

,

Joanna Mika

Videosurgery Miniinv 2015; 10 (4): 593–599

DOI: https://doi.org/10.5114/wiitm.2015.55676

Online publish date: 2015/11/20

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We present a case report of a 60-year-old woman with a spontaneous cerebrospinal fluid leak at the clivus, obesity and no history of trauma. Follow-up imaging scans confirmed enlargement of the defect within the posterior clival framework to the size of 16 × 9 × 4 mm with a suspected meningocerebral hernia. The surgeons used the “two nostrils – four hands” endoscopic operating technique. The patient reported a history of cerebrospinal fluid leaks lasting for 3 years, with increasingly shorter leak-free periods and an increasing incidence of inflammatory complications. The patient recovered without complications, and she was discharged 14 days after the surgery. Good local outcome and improved patient condition were achieved postoperatively.

keywords:

Spontaneous cerebrospinal fluid leak at the clivus

Krzysztof Oleś , Jacek Składzien , Marek Betlej , Robert Chrzan , Joanna Mika

spontaneous cerebrospinal fluid leak, clivus, endoscopic sinus surgery, benign intracranial hypertension, four hands endoscopic operating technique

Krzysztof Oleś

,

Jacek Składzien

,

Marek Betlej

,

Robert Chrzan

,

Joanna Mika