Fibrous dysplasia is a benign bone disorder that most commonly affects craniofacial bones; one or multiple adjacent bones can be involved which can severely deform the skull base. Cerebrospinal fluid leakage in combination with extensive craniofacial fibrous dysplasia is an extremely rare condition that leads to complicated skull base deformation and possible neurovascular structure impingement...

A dural tear is a common but troublesome complication of endoscopic spinal surgery. The limitations of space make repair difficult, and it is often necessary to proceed to an open operation to suture the dura in order to prevent leakage of cerebrospinal fluid. We describe a new patch technique in which a small piece of polyglactin 910 is fixed to the injured dura with fibrin glue. Three pieces ...

Introduction: Leakage of cerebrospinal fluid in the skull base may be accompanied with recurrent meningitis. The site of leakage may either be anterior (in the nose and paranasal sinuses) or posterior (in the temporal bone). Various imaging techniques can be used to precisely locate the point of leakage but despite all the advances in imaging techniques there are still some rare cases in which ...

Spontaneous intracranial hypotension (SIH) is considered to be a very rare disorder. It is characterized by an orthostatic headache that is aggravated with the patient in the upright position and it is relieved by the patient assuming the supine position. SIH is caused by a spontaneous spinal cerebrospinal fluid leakage without the patient having undergone trauma, surgery or dural puncture or h...

abstract our patient was a 43-year-old woman with a suboccipital headache and pain in the upper cervical region from 3 years ago with a progressive generalized weakness in the last 3 months. neuroimaging study showed a dumbell shaped lesion with compression of the spinal cord in the cervical region that was identified as a neurinoma. the tumor had been completely removed by surgery but after th...

We report a case of an 86 year old female that presented with a refractory cerebrospinal fluid fistula after L2-L5 posterior decompression. An epidural blood patch was performed on post-operative day 21, and the leakage of cerebrospinal fluid ceased soon after the procedure, thus avoiding the need for open closure. One year after surgery, the patient showed improvement in intermittent claudicat...