The relationship between spontaneous cerebrospinal fluid leak and idiopathic intracranial hypertension.
Fiche publication
Date publication
novembre 2020
Journal
European annals of otorhinolaryngology, head and neck diseases
Auteurs
Membres identifiés du Cancéropôle Est :
Pr JANKOWSKI Roger
Tous les auteurs :
Nguyen DT, Helleringer M, Klein O, Jankowski R, Rumeau C
Lien Pubmed
Résumé
Surgical treatment of spontaneous cerebrospinal fluid (CSF) leak is now performed by ENT surgeons, endonasal endoscopy being preferred to craniotomy as less invasive. However, it is often the symptom of underlying idiopathic intracranial hypertension, which lies outside the traditional sphere of ENT competence. Surgery is a necessary step, but should not obscure the need to treat the underlying pathology. This treatment is complex, and requires multidisciplinary team-work between otorhinolaryngologist, ophthalmologist, neurologist, neurosurgeon, radiologist, dietician, endocrinologist and psychotherapist. The present update details this multidisciplinary management to which the ENT surgeons must be attentive before and after spontaneous CSF leak repair.
Mots clés
CSF, Idiopathic intracranial hypertension, Multidisciplinary management, Spontaneous leak
Référence
Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Nov 27;: