- #Cerebrospinal fluid leak in brain after head trauma software#
- #Cerebrospinal fluid leak in brain after head trauma free#
The cessation time of cerebrospinal fluid leakage (95% confidence interval (CI): −3.65 to −2.86, Z=16.21, P0.05).Ĭonclusions: Compared with conventional lumbar puncture, CLCFD can significantly increase the cure rate, shorten the recovery time of cerebrospinal fluid, and significantly reduce the incidence of intracranial infections, reduce complications, is conducive to the prognosis of patients. There is some publication bias in the statistics. Results: A total of 8 studies, involving 568 patients.
#Cerebrospinal fluid leak in brain after head trauma software#
RevMan 5.3 software was used for systematic analysis. Cochrane systematic review was performed to assess the quality of the literature. Inclusion criteria: (I) randomized controlled trials (RCTs), CLCFD and conventional lumbar puncture drainage for patients with cerebrospinal fluid leakage after craniocerebral injury (II) evaluation of indicators such as cerebrospinal fluid leakage stop time, clearance time, intracranial infection and complications. Methods: The search terms ‘brain injury’ and ‘CLCFD’ were used to search CNKI, Wanfang, VIP, Longyuan, PubMed, Embase, Cochrane Library and other databases (from inception to November 1, 2022). This study evaluated the efficacy of CLCFD and conventional lumbar puncture in the treatment of cerebrospinal fluid leakage after craniocerebral injury. Therefore, there is no agreement on which method is more effective. However, CLCFD may also lead to complications such as intracranial hematoma and intracranial pneumothorax. CLCFD has less trauma, and drainage can be manipulated to avoid repeated lumbar puncture. However, lumbar puncture is more invasive, requires multiple punctures. Policy of Dealing with Allegations of Research Misconductīackground: Commonly used clinical treatments for intracranial hypertension include continuous lumbar cerebrospinal fluid drainage (CLCFD) and conventional lumbar puncture.Policy of Screening for Plagiarism Process.Because surgical repair by way of a mastoid approach alone can be inadequate if there are multiple tegmen defects, a middle fossa approach alone, or in combination with a transmastoid approach, should be considered in most cases.
Although presenting symptoms can be subtle, early suspicion and confirmatory imaging aid in establishing the diagnosis.
#Cerebrospinal fluid leak in brain after head trauma free#
Materials used in repair included temporalis fascia, free muscle graft, Oxycel cotton, calvarial bone, pericranium, bone wax, and fibrin glue.ĬSF middle ear effusion/otorrhea can develop in adults without a prior history of meningitis or head trauma or any apparent proximate cause. Five patients underwent combined middle cranial fossa/transmastoid repair. Two patients had multiple defects in the tegmen and dura, and five patients had meningoencephaloceles confirmed intraoperatively. Many developed suspicious clear otorrhea only after insertion of a tympanostomy tube. The majority of patients presented with symptoms of aural fullness and middle ear effusion. Retrospective review of nine cases of spontaneous CSF middle ear effusion/otorrhea. Data on nine cases of spontaneous CSF leak to the ear in adult patients from four medical centers are presented and analyzed to provide collective information about a disorder that can be difficult to diagnose and manage.
Because tegmen defects may be multiple rather than single, identifying only one defect may not be sufficient for achieving definitive repair.
A review of relevant medical literature reveals that herniation of the arachnoid membrane through a tegmen defect may be congenital, or CSF leak may occur when dynamic factors (i.e., brain pulsations or increases in intracranial pressure) produce a rent in the arachnoid membrane. Therefore, clues may be lacking that would alert the otolaryngologist that fluid medial to an intact eardrum, or fluid emanating from an eardrum perforation, is likely to be CSF fluid. Spontaneous leak of cerebrospinal fluid (CSF) into the middle ear can occur in adults without a history of temporal bone trauma or fracture, meningitis, or any obvious cause.
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