9/2/2023 0 Comments Leaking spinal fluid![]() ![]() Patient Navigators for Coordination of Care Their combined expertise ensures you experience a better outcome. Our team of sinus specialists, otologists, neurotologists, neuroradiologists, neurosurgeons, neurologists, neuro-ophthalmologists, and others work together to coordinate your treatment. Our advanced training, experience, and large number of cases contribute to our excellent results. This can optimize your surgeon's accuracy and help them avoid damage to surrounding tissue.ĭuke is one of the few centers in the country with the expertise to diagnose and treat CSF leaks that cause chronic headaches and other symptoms. The technique combines CT scans (which are ideal for displaying bony anatomy) and MRI scans (which are ideal for displaying softer tissues and fluids) and uses reference points to identify important neurological structures. You should begin to find relief from pain and other symptoms after seven to ten days.ĬT/MRI fusion is a navigation system, similar to a GPS, used during CSF leak surgery. You’ll be asked to return for follow-up visits one week after surgery and several more times at increasing intervals. This requires a longer hospital stay, usually three to seven days. You’ll need to stay in the hospital for three or four nights.įor leaks on the back of the skull (posterior) or that are difficult to access through the nose or behind the ear, surgeons may perform a traditional craniotomy, which requires a larger opening in the skull. This technique speeds recovery, leaves no visible scars, and requires only a couple of nights’ stay in the hospital.įor leaks on the side of the skull (lateral), surgeons may access and repair the leak through incisions behind the ear, which leave less visible scarring. Once surgeons reach the leak site, they repair the hole by plugging it with tissue or fat.įor leaks on the front of the skull (anterior), surgeons may access and repair the leak through the nostrils using a minimally invasive, endoscopic approach. Surgical approaches are tailored to the exact location of the leak. Surgery is often the best treatment option for cranial CSF leaks. Without treatment, CSF leaks can lead to loss of vision or other senses, hydrocephalus (a buildup of fluid in the cavities inside the brain), dangerous infections like meningitis, or death. The most common signs for cranial CSF leaks include chronic headaches and watery discharge from the nose or ear, especially on one side. Intracranial hypertension can be primary, meaning there is no certain cause, or secondary to another problem, such as a brain bleed. Too much CSF can wear down the skull, making it weak and prone to crack. Intracranial hypertension is similar to high blood pressure, but in the brain. This can be caused by a traumatic injury, tumor, infection, surgery, or intracranial hypertension. When an area of the skull is damaged, becomes thin, or cracks, the dura (the tissue that holds cerebrospinal fluid and surrounds the brain and spine) is exposed and can easily tear. ![]() Some valves have self-adjusting flow-regulating mechanisms, while others can only be adjusted using minimally invasive surgical procedures.Cerebrospinal fluid (CSF) is a watery fluid that protects, nourishes, and removes waste from the brain and spinal cord. These types of shunts DO NOT use an external magnetic field for valve adjustments. Non-Magnetic Externally Adjustable Valves Once implanted, no additional surgical procedures are required to change the setting of a magnetic externally adjustable shunt valve. This process, setting a valve to drain more or less fluid from the brain, is sometimes called “programming,” although the process involves no electronics. The magnetic field of the programming tool passes through the skin to adjust the position of the valve. To adjust these valves, a clinician places a magnetic tool on the skin near the valve and manually rotates it. Magnetic externally adjustable shunts have mechanical parts that can be moved non-invasively from outside the body. Magnetic Externally Adjustable Shunt Valves There are two types of adjustable CSF shunt valves: magnetic externally adjustable and non-magnetic externally adjustable. Adjustable shunt valves allow for changes to the amount of fluid that flows through the valve. Fixed shunt valves allow CSF fluid to drain when CSF pressure exceeds a certain “fixed” threshold. There are two types of CSF shunt valves: fixed and adjustable. ![]() Figure 1: Side-view of implanted CSF shunt system. ![]()
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