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Traumatic cerebrospinal fluid fistulas in the anterior and middle cranial fossae

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Summary

A survey of 164 cases of traumatic CSF rhinorrhoea, and 33 cases of CSF otorrhoea is presented. The problems of diagnosis, operative treatment, and frequency of recurrence, are considered. Anterior fossa injuries can still present problems, even though the diagnosis has been greatly facilitated by the introduction of computer tomography.

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References

  1. Cairns, H., Injuries of the frontal and ethmoidal sinuses with special reference to cerebrospinal rhinorrhoea and aeroceles. J. Laryng.52 (1937), 589–623.

    Google Scholar 

  2. Cushing, H., Experiences with orbito-ethmoidal osteomata having intracranial complications. Surg. Gynec. Obstet.44 (1927), 721–742.

    Google Scholar 

  3. Dandy, W. E., Pneumocephalus (intracranial pneumatocele or aerocele). Arch. Surg.12 (1926), 949–982.

    Google Scholar 

  4. Dandy, W. E., Treatment of rhinorrhea and otorrhea. Arch. Surg.49 (1944), 75–85.

    Google Scholar 

  5. Dietz, H., Die frontobasale Schädelhirnverletzung. Monographien aus dem Gesamtgebiete der Neurologie und Psychiatrie, Heft 130. Berlin-Heidelberg-New York: Springer. 1970.

    Google Scholar 

  6. Eden, K., Traumatic cerebrospinal rhinorrhoea. Repair of the fistula by a transfrontal intradural operation. Brit. J. Surg.29 (1942), 299–303.

    Google Scholar 

  7. Greenblatt, S. H., Wilson, D. H., Persistent cerebrospinal fluid rhinorrhea treated by lumboperitoneal shunt. Technical note. J. Neurosurg.38 (1973), 524–526.

    PubMed  Google Scholar 

  8. Grote, W., Traumatische Liquorfisteln. (Erfahrungen an über 100 operierten Fällen.) Excerpta Medica Amsterdam. Int. Congr. Ser.93 (1965), 159.

    Google Scholar 

  9. Kessel, F. K., Guttmann, Maurer, Neurotraumatologie, Bd. I. München-Berlin-Wien: Urban und Schwarzenberg. 1969.

    Google Scholar 

  10. Kaldersky, J., Sadeghi, M., Brihaye, J., Antimicrobial prophylaxis in patients with rhinorrhea or otorrhea: A double-blind study. Surg. Neurol.6 (1976), 111–114.

    PubMed  Google Scholar 

  11. Kuhlendahl, H., Frontobasale Schädelhirnverletzung und traumatische Liquorfistel. Beitr. Neurochir.1 (1959), 37–54.

    Google Scholar 

  12. Lewin, W., Cerebrospinal fluid rhinorrhoea in closed head injuries. Brit. J. Surg.42 (1954), 1–18.

    PubMed  Google Scholar 

  13. Lorenz, R., Dringliche Diagnostik bei Schädelhirnverletzungen. Notfallmedizin4 (1978), 93–102.

    Google Scholar 

  14. Markham, J. W., The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases. Acta neurochir. (Wien)16 (1967), 1–78.

    Google Scholar 

  15. Miller, C., Case of hydrocephalus chronicus with some unusual symptoms and appearances on dissection. Trans. med.-chir. Soc. Edinburgh2 (1826), 243–248. Quoted by Dietz 1960.

    Google Scholar 

  16. Morley, T. P., Wortzman, G., The importance of the lateral extensions of the sphenoidal sinus in post-traumatic cerebrospinal rhinorrhea and meningitis. J. Neurosurg.22 (1965), 326–332.

    PubMed  Google Scholar 

  17. Pia, H. W., Liquorfisteln und Pneumatozelen. Chirurg. Praxis (1958), 369–378.

  18. Pia, H. W., Offene Schädelhirnverletzungen. Hefte zur Unfallheilkunde138 (1979), 29–39.

    PubMed  Google Scholar 

  19. Pia, H. W., Schädelhirnverletzungen. Langenbecks Arch. Chir.349 (1979), 247–252.

    Google Scholar 

  20. Princi, B. L., Baldini, M., Introzzi, G., Ventricular or lumbar shunt in the treatment of post-traumatic CSF rhinorrhea. Seara Médica NeurochirurgicaVI (1977), 215–220.

    Google Scholar 

  21. Probst, C., Frontobasale Verletzungen. Bern-Stuttgart-Wien: Huber. 1971.

    Google Scholar 

  22. Seeger, W., Zur Frage der spontanen rhinogenen Liquorfistel. Neurochirurgia7 (1964), 173–184.

    Google Scholar 

  23. Seeger, W., Frontobasale Frakturen. Dtsch. med. Wschr.92 (1967), 1009–1012.

    PubMed  Google Scholar 

  24. Taylor, J., Diskussionsbeitrag. Trans. ophthal. Soc. U.K.54 (1934), 312–314.

    Google Scholar 

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Dedicated to Prof. Dr. Dr. h. c. H. W. Pia on the occasion of his 60th anniversary.

This paper is based on material from the University Department of Neurosurgery of the Justus Liebig University, Giessen, during the years 1956–1977.

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Laun, A. Traumatic cerebrospinal fluid fistulas in the anterior and middle cranial fossae. Acta neurochir 60, 215–222 (1982). https://doi.org/10.1007/BF01406308

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