Andrade-Lozano P, Salas-Galicia JE, Rodríguez-Briseño RA, Chávez-Méndez M, Gutiérrez-Vargas R, Garza-Talamas LM

Language: Spanish
References: 0
Page: 1-10
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ABSTRACT

Background: The cerebrospinal fluid (CSF) is a life-threatening condition where the diagnosis is a challenge.
Objetive: To propose an algorithm that combines the diagnostic tools available in most hospitals and easily applied to diagnose CSF leak and to elect patients for endoscopic closure and thus ensure percentage of postsurgical success closest to that reported in the literature.
Material and Method: A retrospective study done from March 2012 to August 2016 assessing the cases of possible dural lesion and cerebrospinal fluid fistula using an algorithm.
Results: This algorithm was used in 45 patients with clinical suspicion of CSF fistula, it was detected in 41 of them, of which 39 underwent transnasal endoscopic closure. The three divisions of this algorithm provide us indications of behavior to follow and diagnose and if we should proceed with the surgical management.
Conclusions: Each division uses a combination of studies of CSF and image for a complementary synergistic effect to accurately detect CSF fistula and get postsurgical success.