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Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas

Received: 12 July 2021    Accepted: 30 July 2021    Published: 9 August 2021
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Abstract

Introduction. Liquorrhea is a leakage of cerebrospinal fluid (CSF) into an air cavity of the skull base through an osteomeningeal breach which can exit through nos and / or ear. Highlighting the breach and closing it is sometimes very difficult. The aim of this work was to study cerebrospinal fluid liquorrhea management in our work environment. Method. This was a retrospective study over 05 years (2010-2014). We included any cases of liquorrhea managed in the neurosurgery department of Yalgado Ouédraaogo teaching hospital in Ouagadougou. Results. Thirty-five cases were included, they were 34 male and 1 female. The average age was 31.6 years. Liquorrhea was the reason for admission in 11 cases. Physical examination found rhinorrhea in 24 cases, otorrhea in 9 cases and oto-rhinorrhea in 2 cases. A fracture line was objectified one CT scan in all patients. This fracture line could explain the liquorrhea in 24 cases. Conservative treatment was performed in 33 cases. Two patients were opered. Outcome was favorable in 33 patients. One patient died of meningitis. Conclusion. Highlighting of the breach was difficult in our work context where CT-scan can provide good orientations. Treatment was essentially conservative; prognosis very often favorable except in the event of a complication such as meningitis.

Published in International Journal of Neurosurgery (Volume 5, Issue 2)
DOI 10.11648/j.ijn.20210502.13
Page(s) 66-69
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Rhinorrhea, Otorrhea, Head Trauma

References
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[3] Chan SM, Chodakiewitz YG, Maya MM, Schievink WI, Moser FG. Intracranial Hypotension and Cerebrospinal Fluid Leak. Neuroimaging Clin N Am. 2019 May; 29 (2): 213-226.
[4] Oakley GM, Alt JA, Schlosser RJ, Harvey RJ, Orlandi RR. Diagnosis of cerebrospinal fluid rhinorrhea: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2016 Jan; 6 (1): 8-16.
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[6] Abuabara A. Cerebrospinal fluid rhinorrhoea: diagnosis and management. Med Oral Patol Oral Cir Bucal 2007; (12): 397-400.
[7] Prosser JD, Vender JR, Solares CA. Traumatic Cerebrospinal Fluid Leaks. Otolaryngol Clin N Am. 2011; (44): 857–73.
[8] Kinaci A, Van Doormaal TPC. Dural sealants for the management of cerebrospinal fluid leakage after intradural surgery: current status and future perspectives. Expert Rev Med Devices. 2019; 16 (7): 549-553.
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[15] Davis HJ. To Trick or Treat: Antimicrobial Prophylaxis for Prevention of Meningitis in Traumatic Skull Fractures Associated with CSF Leak. University of Texas Health Sciences Center at San Antonio. 2015; 10: 31-14.
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Cite This Article
  • APA Style

    Zabsonre Denlewende Sylvain, Yameogo Pacome, Ouiminga Habib Abdoul Karim, Sanou Abdoulaye, Zida Ilyasse, et al. (2021). Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas. International Journal of Neurosurgery, 5(2), 66-69. https://doi.org/10.11648/j.ijn.20210502.13

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    ACS Style

    Zabsonre Denlewende Sylvain; Yameogo Pacome; Ouiminga Habib Abdoul Karim; Sanou Abdoulaye; Zida Ilyasse, et al. Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas. Int. J. Neurosurg. 2021, 5(2), 66-69. doi: 10.11648/j.ijn.20210502.13

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    AMA Style

    Zabsonre Denlewende Sylvain, Yameogo Pacome, Ouiminga Habib Abdoul Karim, Sanou Abdoulaye, Zida Ilyasse, et al. Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas. Int J Neurosurg. 2021;5(2):66-69. doi: 10.11648/j.ijn.20210502.13

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  • @article{10.11648/j.ijn.20210502.13,
      author = {Zabsonre Denlewende Sylvain and Yameogo Pacome and Ouiminga Habib Abdoul Karim and Sanou Abdoulaye and Zida Ilyasse and Thiombiano Abdoulaye and Lankoande Henri and Kinda Boureima and Kabre Abel},
      title = {Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas},
      journal = {International Journal of Neurosurgery},
      volume = {5},
      number = {2},
      pages = {66-69},
      doi = {10.11648/j.ijn.20210502.13},
      url = {https://doi.org/10.11648/j.ijn.20210502.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210502.13},
      abstract = {Introduction. Liquorrhea is a leakage of cerebrospinal fluid (CSF) into an air cavity of the skull base through an osteomeningeal breach which can exit through nos and / or ear. Highlighting the breach and closing it is sometimes very difficult. The aim of this work was to study cerebrospinal fluid liquorrhea management in our work environment. Method. This was a retrospective study over 05 years (2010-2014). We included any cases of liquorrhea managed in the neurosurgery department of Yalgado Ouédraaogo teaching hospital in Ouagadougou. Results. Thirty-five cases were included, they were 34 male and 1 female. The average age was 31.6 years. Liquorrhea was the reason for admission in 11 cases. Physical examination found rhinorrhea in 24 cases, otorrhea in 9 cases and oto-rhinorrhea in 2 cases. A fracture line was objectified one CT scan in all patients. This fracture line could explain the liquorrhea in 24 cases. Conservative treatment was performed in 33 cases. Two patients were opered. Outcome was favorable in 33 patients. One patient died of meningitis. Conclusion. Highlighting of the breach was difficult in our work context where CT-scan can provide good orientations. Treatment was essentially conservative; prognosis very often favorable except in the event of a complication such as meningitis.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas
    AU  - Zabsonre Denlewende Sylvain
    AU  - Yameogo Pacome
    AU  - Ouiminga Habib Abdoul Karim
    AU  - Sanou Abdoulaye
    AU  - Zida Ilyasse
    AU  - Thiombiano Abdoulaye
    AU  - Lankoande Henri
    AU  - Kinda Boureima
    AU  - Kabre Abel
    Y1  - 2021/08/09
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijn.20210502.13
    DO  - 10.11648/j.ijn.20210502.13
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 66
    EP  - 69
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20210502.13
    AB  - Introduction. Liquorrhea is a leakage of cerebrospinal fluid (CSF) into an air cavity of the skull base through an osteomeningeal breach which can exit through nos and / or ear. Highlighting the breach and closing it is sometimes very difficult. The aim of this work was to study cerebrospinal fluid liquorrhea management in our work environment. Method. This was a retrospective study over 05 years (2010-2014). We included any cases of liquorrhea managed in the neurosurgery department of Yalgado Ouédraaogo teaching hospital in Ouagadougou. Results. Thirty-five cases were included, they were 34 male and 1 female. The average age was 31.6 years. Liquorrhea was the reason for admission in 11 cases. Physical examination found rhinorrhea in 24 cases, otorrhea in 9 cases and oto-rhinorrhea in 2 cases. A fracture line was objectified one CT scan in all patients. This fracture line could explain the liquorrhea in 24 cases. Conservative treatment was performed in 33 cases. Two patients were opered. Outcome was favorable in 33 patients. One patient died of meningitis. Conclusion. Highlighting of the breach was difficult in our work context where CT-scan can provide good orientations. Treatment was essentially conservative; prognosis very often favorable except in the event of a complication such as meningitis.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Orthopedic, Traumatology and Neurosurgery Department of Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

  • Neurosurgery Department of Yalgado Ouedraogo Teaching Hospital, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso

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