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Cerebrospinal Fluid Diversion

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Skull Base Reconstruction

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Abstract

Cerebrospinal fluid (CSF) diversion is an important tool in the management of CSF leaks of various etiologies with critical roles in diagnosis, management, and treatment. CSF diversion can be temporary, in the form of an external ventricular drain (EVD) or lumbar drain (LD), or permanent in the form of a shunt, either placed in the ventricles or lumbar cisterns. Cerebral venous sinus stenting (CVSS) achieves similar results in altering CSF dynamics by facilitating CSF absorption and reducing overall intracranial pressure (ICP), although it does not itself divert CSF. The form of CSF diversion that is chosen depends on the specific goals. In this chapter, we discuss the methods of CSF diversion and how they are uniquely implemented during skull base surgery and skull base reconstruction.

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Authors and Affiliations

  1. Department of Neurosurgery, Rush University, Chicago, IL, USA

    Andrew K. Wong, Stephan Munich & R. Webster Crowley

Authors
  1. Andrew K. Wong
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  2. Stephan Munich
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  3. R. Webster Crowley
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Corresponding author

Correspondence to R. Webster Crowley .

Editor information

Editors and Affiliations

  1. Otolaryngology-Head and Neck Surgery and Neurological Surgery, University of California, Irvine, Irvine, CA, USA

    Edward C. Kuan

  2. Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, IL, USA

    Bobby A. Tajudeen

  3. Otolaryngology-Head and Neck Surgery and Neurological Surgery, University of California, Irvine, Irvine, CA, USA

    Hamid R. Djalilian

  4. Otolaryngology-Head and Neck Surgery and Neurological Surgery, University of California, Irvine, Irvine, CA, USA

    Harrison W. Lin

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Wong, A.K., Munich, S., Crowley, R.W. (2023). Cerebrospinal Fluid Diversion. In: Kuan, E.C., Tajudeen, B.A., Djalilian, H.R., Lin, H.W. (eds) Skull Base Reconstruction . Springer, Cham. https://doi.org/10.1007/978-3-031-27937-9_7

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  • DOI: https://doi.org/10.1007/978-3-031-27937-9_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-27936-2

  • Online ISBN: 978-3-031-27937-9

  • eBook Packages: MedicineMedicine (R0)

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