Offering up-to-date, multidisciplinary coverage of this nuanced and evolving field, Cerebrospinal Fluid Rhinorrhea provides a comprehensive overview of the evaluation and diagnosis, as well as the medical and surgical management options, for all causes of cerebrospinal fluid (CSF) rhinorrhea. It covers all aspects of CSF leaks, synthesizing current knowledge on pathophysiology, diagnosis, perioperative care, and operative techniques for this complex group of patients. Leading experts in otolaryngology and neurosurgery, as well as ophthalmology, neurology, and radiology, provide detailed coverage of the distinctions between management of patients with differing etiologies of CSF rhinorrhea, including spontaneous, traumatic/iatrogenic, and tumor-related.

Sections:

Part 1 Perspectives and Evolution of Cerebrospinal Fluid Leak Repair

Part 2 Surgical Anatomy of the Anterior Cranial Base

Part 3 Traumatic and Iatrogenic Cerebrospinal Fluid Leaks

Part 4 Spontaneous Cerebrospinal Fluid Leaks

Part 5 Skull Base Reconstruction after Endoscopic Endonasal Tumor Surgery

Part 6 Advances in Endoscopic Instrumentation and Techniques

Table of Contents:

Part 1 Perspectives and Evolution of Cerebrospinal Fluid Leak Repair

1. Cerebrospinal Fluid Rhinorrhea: The Rhinologist’s Perspective – Bleier
2. Cerebrospinal Fluid Rhinorrhea: The Neurosurgeon’s Perspective – Schwartz

Part 2 Surgical Anatomy of the Anterior Cranial Base

3. Surgical Anatomy of the Anterior Cranial Fossa - Eloy/Liu
4. Surgical Anatomy of the Middle Cranial Fossa – Evans/Rosen
5. Surgical Anatomy of the Posterior Cranial Fossa – JFM or Gardner

Part 3 Spontaneous Cerebrospinal Fluid Rhinorrhea

6. Evaluation of the Spontaneous Cerebrospinal Fluid Rhinorrhea Patient - Rowan
7. Pathophysiology of Idiopathic Intracranial Hypertension – Vorster
8. Ophthalmologic Evaluation of the Idiopathic Intracranial Hypertension Patient –Lisa Lystad or Tim McCulley
9. Radiologic Evaluation of the Idiopathic Intracranial Hypertension Patient
10. Medical Management of Idiopathic Intracranial Hypertension - Neurologist
11. Surgical Management of Spontaneous Cribriform Plate Defects – Murray Ramanathan
12. Surgical Management of Spontaneous Defects of the Lateral Sphenoid Recess – Sindwani
13. Surgical Management of Spontaneous Clival Defects – Paramita Das and Chris Roxbury (author has a nice representative case with edited video)
14. Postoperative Management of the Idiopathic Intracranial Hypertension Patient – Woodworth
15. Evaluation and Management of Congenital Skull Base Defects – Gudis

Part 4 Traumatic and Iatrogenic Cerebrospinal Fluid Leaks

16. Pathophysiology and Evaluation of Iatrogenic Cerebrospinal Fluid Rhinorrhea

-Stankiewicz

17. Pathophysiology and Evaluation of Blunt Force and Penetrating Trauma of the Anterior Cranial Base

-David Chan (ENT/Trauma specialist at U of C)

18. Radiological Evaluation of Anterior Cranial Base Trauma

-Daniel Ginat

19. Surgical Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea

-Kennedy

20. Postoperative Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea

-Woodard

21. Surgical Management of Large Traumatic Anterior Cranial Base Defects

-Paramita Das

22. Postoperative Management of Traumatic Cranial Base Defects

-Peleg Horowitz (Neurosurgeon, U of C)

Part 5 Skull Base Reconstruction after Endoscopic Endonasal Tumor Surgery

23. Clinical Evaluation of the Sellar Mass Patient – Gary Gallia
24. Clinical Evaluation of the Skull Base Malignancy Patient – Palmer
25. Radiologic Evaluation of Skull Base Masses – Nafi Aygun
26. Sellar Reconstruction after Pituitary Adenoma Resection – Roxbury/Horowitz
27. Reconstruction after Craniopharyngioma Resection – Carrau/Prevedello
28. Endoscopic Reconstruction of Anterior Cranial Fossa Defects – Casiano
29. Endoscopic Reconstruction of Middle Cranial Fossa Defects – Varun/Pablo
30. Endoscopic Reconstruction of Posterior Cranial Fossa Defects – Eric Wang
31. Locoregional Flap Reconstruction for Anterior Cranial Base Defects – Zanation
32. Free Flap Reconstruction for Anterior Cranial Base Defects – Fritz
33. Postoperative Management After Complex Skull Base Reconstruction

Part 6 Advances in Endoscopic Instrumentation and Techniques

34. Advances in Endoscopic Visualization (4K Video Systems) – Varun
35. Advances in Endoscopic Endonasal Skull Base Surgery Instrumentation
36. Evolution of Synthetic Graft Materials and Dural Sealants for Cerebrospinal Fluid Leak Repair – Ed Kuan