Open AccessDo Most Patients With a Spontaneous Cerebrospinal Fluid Leak Have Idiopathic Intracranial Hypertension?
Author(s) -
Samuel Bidot,
Joshua M. Levy,
Amit M. Saindane,
Nelson M. Oyesiku,
Nancy J. Newman,
Valérie Biousse
Publication year - 2019
Publication title -
journal of neuro-ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.586
H-Index - 55
eISSN - 1536-5166
pISSN - 1070-8022
DOI - 10.1097/wno.0000000000000761
Subject(s) - medicine , cerebrospinal fluid , leak , skull , intracranial pressure , pathophysiology , pseudotumor cerebri , hydrocephalus , cerebrospinal fluid leak , spontaneous intracranial hypotension , raised intracranial pressure , surgery , pathology , environmental engineering , engineering
The association between cerebrospinal fluid (CSF) leaks at the skull base and raised intracranial pressure (ICP) has been reported since the 1960s. It has been suggested that spontaneous CSF leaks might represent a variant of idiopathic intracranial hypertension (IIH). We review the evidence regarding the association between spontaneous CSF leaks and IIH, and the role of ICP in the pathophysiology of nontraumatic skull base defects. We also discuss the management of ICP in the setting of CSF leaks and IIH.