Endoscopic Management of Idiopathic Spontaneous Skull Base Fistula Through the Clivus

被引：13

作者：

Elrahman, Hesham Abd ^{[1
,2
]}

Malinvaud, David ^{[1
]}

Bonfils, Nicolas A. ^{[1
]}

Daoud, Rabii ^{[1
]}

Mimoun, Michael ^{[1
]}

Bonfils, Pierre ^{[1
]}

机构：

[1] Univ Paris 05, Fac Med, Georges Pompidou European Hosp, Dept Otorhinolaryngol, F-75015 Paris, France

[2] Benha Univ, Fac Med, Banha, Egypt

来源：

ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY | 2009年 / 135卷 / 03期

关键词：

CEREBROSPINAL-FLUID LEAKS; RHINORRHEA; REPAIR; CLOSURE;

D O I：

10.1001/archoto.2008.550

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Cerebrospinal fluid (CSF) is produced by the choroid plexus of the lateral third and fourth ventricles at a rate of 0.35 mL/min. The CSF flows into the subarachnoid space and is absorbed by the arachnoid villi in the sagittal sinus. Normal CSF pressure is 5 to 15 cm H2O. Neurologic symptoms may occur when CSF pressure reaches more than 15 to 20 cm H2O.(1) Three concomitant factors are needed for CSF leakage: an osseous defect, a meningeal disruption, and a pressure gradient.(2)

引用

页码：311 / 315

页数：5

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