Endoscopic sphenoid procedure in the treatment of cerebro spinal fluid leaks. Study of 15 cases.

摘要

Surgical management of cerebrospinal fluid leaks(CSFL) has improved these few past years with the development of paranasal sinus surgery under optical guidance. CSFL localized in the sphenoid sinus represent only 5 to 15/100 of all CSFL. The authors have analyzed a serie of 15 patients having Undergone surgery from 1992 to 1999 for CSFL: 10 cases Followed pituitary gland surgery realized through sublabial- Transsphenoidal approach, 2 cases followed head trauma, 1 cases followed a secondary neurosurgical procedure following recurrence of a rathke's cleft cyst, 1 case followed medical treatment of a bulky pituitary gland adenoma and 1 case was associated to an empty sella syndrome.