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Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea
Author(s) -
Allen Kyle P.,
Perez Carlos L.,
Kutz J. Walter,
Gerecci Deniz,
Roland Peter S.,
Isaacson Brandon
Publication year - 2014
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24251
Subject(s) - medicine , cerebrospinal fluid , intracranial pressure , lumbar puncture , cerebrospinal fluid pressure , magnetic resonance imaging , neuroradiologist , retrospective cohort study , surgery , lumbar , institutional review board , tertiary care , anesthesia , radiology
Objectives/Hypothesis To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO). Study Design Case series with chart review at a tertiary care academic medical center following institutional review board approval. Methods A retrospective review was performed of patients undergoing operative repair of SCSFO between January 2007 and May 2012. Results Thirty‐eight patients underwent operative repair of SCSFO. Of these, 22 underwent postoperative lumbar puncture with measurement of opening pressure. The opening pressure was elevated (> 20 cm/H 2 0) in eight patients (36.4%). Preoperative magnetic resonance imaging was available for review by a neuroradiologist in 27 patients. Radiographic evidence of elevated intracranial pressure (ICP) was present in 48.1% of patients. Conclusion Elevated ICP is common in patients with SCSFO. However, as only a minority of patients have elevated ICP, it is not the sole factor in the development of SCSFO. Level of Evidence 4. Laryngoscope , 124:251–254, 2014