Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management
ABSTRACT Resection of the anterior clinoid process results in the creation of the clinoid space, an important surgical step in the exposure and clipping of clinoidal and supraclinoidal internal carotid artery aneurysms. Cerebrospinal fluid rhinorrhea is an undesired and potentially serious complicat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Academia Brasileira de Neurologia (ABNEURO)
2016-07-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000700580&lng=en&tlng=en |
| _version_ | 1819168193077313536 |
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| author | Andre Beer-Furlan Leonardo Balsalobre Eduardo de Arnaldo Silva Vellutini Aldo Cassol Stamm Felix Hendrik Pahl Andre Felix Gentil |
| author_facet | Andre Beer-Furlan Leonardo Balsalobre Eduardo de Arnaldo Silva Vellutini Aldo Cassol Stamm Felix Hendrik Pahl Andre Felix Gentil |
| author_sort | Andre Beer-Furlan |
| collection | DOAJ |
| description | ABSTRACT Resection of the anterior clinoid process results in the creation of the clinoid space, an important surgical step in the exposure and clipping of clinoidal and supraclinoidal internal carotid artery aneurysms. Cerebrospinal fluid rhinorrhea is an undesired and potentially serious complication. Conservative measures may be unsuccesful, and there is no consensus on the most appropriate surgical treatment. Two patients with persistent transclinoidal CSF rhinorrhea after aneurysm surgery were successfully treated with a combined endoscopic transnasal/transeptal binostril approach using a fat graft and ipsilateral mucosal nasal septal flap. Anatomical considerations and details of the surgical technique employed are discussed, and a management plan is proposed. |
| first_indexed | 2024-12-22T18:59:42Z |
| format | Article |
| id | doaj.art-bfe9fe1906c54cc0a36cdcab969688f9 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-22T18:59:42Z |
| publishDate | 2016-07-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-bfe9fe1906c54cc0a36cdcab969688f92022-12-21T18:16:00ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272016-07-0174758058610.1590/0004-282X20160087S0004-282X2016000700580Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication managementAndre Beer-FurlanLeonardo BalsalobreEduardo de Arnaldo Silva VellutiniAldo Cassol StammFelix Hendrik PahlAndre Felix GentilABSTRACT Resection of the anterior clinoid process results in the creation of the clinoid space, an important surgical step in the exposure and clipping of clinoidal and supraclinoidal internal carotid artery aneurysms. Cerebrospinal fluid rhinorrhea is an undesired and potentially serious complication. Conservative measures may be unsuccesful, and there is no consensus on the most appropriate surgical treatment. Two patients with persistent transclinoidal CSF rhinorrhea after aneurysm surgery were successfully treated with a combined endoscopic transnasal/transeptal binostril approach using a fat graft and ipsilateral mucosal nasal septal flap. Anatomical considerations and details of the surgical technique employed are discussed, and a management plan is proposed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000700580&lng=en&tlng=enaneurismavazamento de líquido cefalorraquidianoendoscopia |
| spellingShingle | Andre Beer-Furlan Leonardo Balsalobre Eduardo de Arnaldo Silva Vellutini Aldo Cassol Stamm Felix Hendrik Pahl Andre Felix Gentil Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management Arquivos de Neuro-Psiquiatria aneurisma vazamento de líquido cefalorraquidiano endoscopia |
| title | Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management |
| title_full | Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management |
| title_fullStr | Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management |
| title_full_unstemmed | Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management |
| title_short | Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management |
| title_sort | endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery changing the paradigm of complication management |
| topic | aneurisma vazamento de líquido cefalorraquidiano endoscopia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000700580&lng=en&tlng=en |
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