Spinal fluid leak after back surgery1/21/2024 Our doctors will discuss the pros and cons of the approaches, which approach they recommend, and the risks associated with each option. Rarely, a craniotomy is needed to repair a large leak or a leak in a place that is not accessible through the nose. This involves the surgical removal of part of the skull bone to access the brain and is likewise usually performed under general anesthesia however, a craniotomy requires an overnight stay in the intensive care unit (ICU) and a total hospital stay of two to three days.ĬSF leaks through the nose can generally be repaired through the nose without any external incision. A spinal fluid leak can occur when the fluid surrounding the brain and spinal cord leaks out through a hole in the surrounding connective tissues. If the leak occurs immediately after surgery, the treatment of choice is to place a lumbar drain into the spinal fluid space in the lower back, which will. Spontaneous CSF leaks can also occur for no known reason. CSF leaks may also occur after lumbar puncture, also called a spinal tap or spinal anesthesia. Causes of the hole or tear can include head injury and brain or sinus surgery. Some leaks are not accessible through a mastoidectomy, in which case a craniotomy will need to be performed. A CSF leak results from a hole or tear in the dura, the outermost layer of the meninges. The surgery is typically performed under general anesthesia and can be done as an outpatient procedure or with an overnight stay in the hospital. The surgeon will use tissue or artificial bone cement to repair the leak. Before a CSF leak repair is performed surgically, a rhinologist determines the. The procedure allows access to many defects where the leak might be coming from. Patients who dont experience relief after a lumbar drain may require surgery. The spontaneous leak occurs in patients who have. These communications may occur spontaneously or result from trauma or prior sinonasal surgery. CSF leaks occur through a communication between the lining of the brain and the nose. CSF leaks through the ear can be treated through a mastoidectomy or a craniotomy.Ī mastoidectomy is a surgical procedure performed on the mastoid bone, which is located just behind the ear. Cerebrospinal fluid bathes the brain and spinal cord and acts as a cushion to protect these areas. A spinal fluid leak can occur when the fluid surrounding the brain and spinal cord leaks out through a hole in the surrounding connective tissues.
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