Management of pseudomeningocele following neurotologic procedures.
Publication/Presentation Date
9-1-2004
Abstract
OBJECTIVES: A pseudomeningocele results from the escape of cerebrospinal fluid through a dural defect with trapping of subarachnoid fluid in surrounding soft tissue. The present study evaluates the incidence of pseudomeningocele following neurotologic procedures and delineates an algorithm for management.
METHODS: A retrospective review of 375 consecutive patients undergoing neurotologic procedures at a single institution identified 17 patients with the postoperative complication of pseudomeningocele.
RESULTS: The incidence of pseudomeningocele formation was 4.5% in the present study. Fourteen pseudomeningoceles resolved with nonoperative management including pressure dressing, bed rest, and lumbar spinal drainage. Three patients failed nonoperative management and required surgical procedures for resolution. All patients ultimately had resolution of their pseudomeningocele.
CONCLUSION: Skull-base pseudomeningoceles occur as a complication following neurotologic procedures and can cause complications as they enlarge. The majority of these cases can be dealt with in a nonsurgical manner, but those failing to respond to conservative management should be considered for surgical intervention.
Volume
131
Issue
3
First Page
253
Last Page
262
ISSN
0194-5998
Published In/Presented At
Mehendale, N. H., Samy, R. N., & Roland, P. S. (2004). Management of pseudomeningocele following neurotologic procedures. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 131(3), 253–262. https://doi.org/10.1016/j.otohns.2004.01.018
Disciplines
Medicine and Health Sciences
PubMedID
15365545
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article