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Cerebrospinal fistulas in children
Author(s) -
Jones Dwight T.,
Mcgill Trevor J.,
Healy Gerald B.
Publication year - 1992
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 - 10.1288/00005537-199204000-00013
Subject(s) - medicine , conservative management , cerebrospinal fluid , population , cerebrospinal fluid leak , surgery , pediatrics , closure (psychology) , conservative treatment , intensive care medicine , economics , market economy , environmental health
Cerebrospinal fluid leaks can be difficult management problems. Little information has been published about handling these cases in the pediatric population. A review of cases over the past 10 years at Boston Children's Hospital was undertaken to identify any prognostic factors and therapeutic recommendations. Twenty‐seven patients were identified. While most patients responded to conservative therapy, those with leaks that persisted longer than 8 days required some type of operative closure. Severity of injury had little correlation with the occurrence of a leak. The findings in this study indicate that most pediatric cases can be managed on a conservative basis.