Cerebrospinal Fluid Rhinorrhea

Edited by Raj Sindwani, MD, FACS, FRCS(C) and Christopher Roxbury, MD, FARS
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Offering up-to-date, multidisciplinary coverage of this nuanced and evolving field, Cerebrospinal Fluid Rhinorrhea provides a comprehensive overview of the evaluation and diagnosis, as well as the medical and surgical management options, for all causes of cerebrospinal fluid (CSF) rhinorrhea. It covers all aspects of CSF leaks, synthesizing current knowledge on pathophysiology, diagnosis, perioperative care, and operative techniques for this complex group of patients. Leading experts in otolaryngology and neurosurgery, as well as ophthalmology, neurology, and radiology, provide detailed coverage of the distinctions between management of patients with differing etiologies of CSF rhinorrhea, including spontaneous, traumatic/iatrogenic, and tumor-related. 

Key Features
  • Focuses exclusively on the comprehensive evaluation, and management of patients presenting with CSF leaks from the anterior cranial base, offering a reliable, one-stop resource for experienced clinicians as well as those in training. 

  • Covers the full breadth of cerebrospinal fluid rhinorrhea, with expert discussion of spontaneous CSF leaks, including evolving management techniques for patients with idiopathic intracranial hypertension; traumatic CSF leaks, including advanced management of complex anterior cranial base trauma; and up-to-date techniques for intraoperative skull base reconstruction after tumor resection. 

  • Includes tips and pearls on surgical approaches and postoperative management strategies for this complex and varied patient population. 

  • Features abundant high-definition images of anatomy, radiographic imaging, and intraoperative techniques, as well as videos that highlight intraoperative techniques in patients with spontaneous, traumatic, and tumor-related CSF leaks. 

  • Provides a detailed review of the different laboratory, examination (endoscopic nasal, as well as ophthalmologic) and imaging studies used to evaluate patients with CSF leaks. 

  • Discusses the evaluation and growing medical and procedural management options for patients with idiopathic intracranial hypertension. 

  • Offers state-of-the-art reconstruction options for CSF leaks and complex skull base defects, ranging from the nasoseptal flap and beyond. 

  • Addresses the controversial role of lumbar drains in CSF leak management, as will new and upcoming technological advances in operating room instrumentation. 

  • An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. 

ISBN 9780323870726
Product Format Book
Publication Date 2023
Author Information Edited by Raj Sindwani, MD, FACS, FRCS(C), Section Head, Rhinology, Sinus and Skull Base Surgery, Quality Improvement Officer (QIO), Head and Neck Institute, Cleveland Clinic , Cleveland, Ohio and Christopher Roxbury, MD, FARS, Assistant Professor and The Director of Endoscopic Skull Base Surgery, Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, Illinois
Table of Content  Foreword
1 Categorizing CSF Leaks: A Framework for Understanding (historical perspective)
2 Evaluation of the CSF Leak Patient: History and Physical Exam Findings (including endoscopy)
3 Confirmatory Testing for CSF Rhinorrhea: Protein Analysis
4 Role of Imaging Studies in the Evaluation and Localization of CSF Leaks (role of CT, MRI, as well as dye/radionuclide testing and cisternograms
5 Cerebrospinal Fluid Physiology and Dynamics 
6 Surgical Anatomy of the Anterior Cranial Fossa
7 Surgical Anatomy of the Middle Cranial Fossa
8 "Surgical Anatomy of the Posterior Cranial      "
9 Pathophysiology and Clinical Evaluation of Iatrogenic Cerebrospinal Fluid Rhinorrhea 
10 Pathophysiology and Clinical Evaluation of Blunt Force and Penetrating Trauma of the Anterior Cranial Base
11 Radiological Evaluation of Anterior Cranial Base Trauma
12 Surgical Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea
13 Surgical Management of Large Traumatic Anterior Cranial Base Defects (craniotomy approach for repair of large defects)
14 Postoperative Management of Traumatic Cranial Base Defects (intracranial pressure management
15 "Spontaneous CSF leaks and Their Relationship with Idiopathic Intracranial Hypertension  (Pathophysiology)   "
16 "Diagnosis and Medical Management of Idiopathic Intracranial Hypertension - Neurologist (Dandy criteria, weight loss, medications)          "
17 Surgical Management of Refractory IIH
18 Ophthalmologic Evaluation of the Idiopathic Intracranial Hypertension
19 Radiologic Findings in the Idiopathic Intracranial Hypertension Patient
20 Evaluation and Management of Congenital Skull Base Defects
21 Surgical Management of Spontaneous Cribriform Plate Defects
22 Surgical Management of Lateral Sphenoid Recess Meningoencephaloceles and CSF Leaks
23 Surgical Management of Spontaneous Clival Defects
24 Postoperative Management of the Idiopathic Intracranial Hypertension Patient
25 Clinical Evaluation of the Sellar Mass Patient
26 Clinical Evaluation of the Skull Base Malignancy Patient
27 Radiologic Evaluation of Skull Base Masses
28 Decision Making in Endoscopic Skull Base Reconstruction: A Graduated Approach
29 The Nasoseptal flap: the Workhorse for Skull Base Reconstruction
30 Locoregional Pedicled Flap Options for Skull Base
31 Sellar Reconstruction after Pituitary Adenoma Resection
32 Reconstruction after Transtuberculum and Transplanum Approaches to Suprasellar Pathology
33 Endoscopic Reconstruction of Anterior Cranial Fossa Defects
34 Endoscopic Reconstruction of Middle Cranial Fossa Defects
35 Endoscopic Reconstruction of Posterior Cranial Fossa Defects
36 Transorbital and transfrontal approaches to CSF leak Repair
37 Free Flap Reconstruction for Complex Skull Base Defects
38 Postoperative Management After Reconstruction Following Skull Base Tumor Surgery
39 Role of CSF Diversion in CSF leak Repairs and Skull Base Surgery
40 Advances in Endoscopic Visualization (4K Video Systems) and Surgical Navigation
41 Powered Instrumentation and Bipolar Technology in Endoscopic Endonasal Skull Base Surgery
42 Evolution of Synthetic Graft Materials and Dural Sealants for Cerebrospinal Fluid Leak Repair
Publication Date 15-05-2023
Pages 380
Trim 276 x 216 (8 1/2 x 10 7/8)
Stock Status In Stock
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