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Spontaneous rhinorrhea and idiopathic intracranial hypertension: a complex and challenging association

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dc.contributor.author de Macedo Filho, Leonardo
dc.contributor.author Pinheiro Machado, Carolina Carmona
dc.contributor.author Brito Bezerra Mendes, Gabrielle
dc.contributor.author Figueiredo Santana, Luma María
dc.contributor.author Ruella, Mauro
dc.contributor.author Grewal, Sanjeet
dc.contributor.author Chaichana, Kaisorn L.
dc.contributor.author Quinones Hinojosa, Alfredo
dc.contributor.author Fermo, Olga
dc.contributor.author Almeida, Joao Paulo
dc.date.accessioned 2024-03-05T11:16:11Z
dc.date.available 2024-03-05T11:16:11Z
dc.date.issued 2024-02-23
dc.identifier.citation de Macedo Filho L, Machado CCP, Mendes GBB, Santana LMF, Ruella ME, Grewal S, Chaichana KL, Quinones Hinojosa A, Fermo O, Almeida JP. Spontaneous rhinorrhea and idiopathic intracranial hypertension: a complex and challenging association. Neurol Neurochir Pol. 2024;58(1):31-37. doi: 10.5603/pjnns.98054. Epub 2024 Feb 23. es_ES
dc.identifier.uri https://doi.org/10.5603/pjnns.98054
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/1028
dc.description.abstract Introduction: Spontaneous CSF leak is a known complication of idiopathic intracranial hypertension (IIH). Patients with CSF rhinorrhea present a unique challenge within the IIH population, as the occurrence of a leak can mask the typical IIH symptoms and signs, complicating the diagnosis. Treatment of leaks in this population can also be challenging, with the risk of rhinorrhea recurrence if intracranial hypertension is not adequately treated. Objective: The aim of this narrative review was to examine current literature on the association between spontaneous CSF rhinorrhea leaks and IIH, focusing on key clinical features, diagnostic approaches, management strategies, and outcomes. Material and methods: A literature search was executed using the PubMed and Scopus databases. The search was confined to articles published between January 1985 and August 2023; extracted data was then analysed to form the foundation of the narrative review. Results: This search yielded 26 articles, comprising 943 patients. Average age was 46.8 ± 6.5 years, and average body mass index was 35.8 ± 4.8. Most of the patients were female (74.33%). Presenting symptoms were rhinorrhea, headaches and meningitis. The most common imaging findings were empty sella and encephalocele. The standard treatment approach was endoscopic endonasal approach for correction of CSF rhinorrhea leak, and shunt placement was also performed in 128 (13%) patients. Recurrences were observed in 10% of cases. Conclusions: The complex relationship between spontaneous CSF leaks and IIH is a challenge that benefits from multidisciplinary evaluation and management for successful treatment. Treatments such as endoscopic repair, acetazolamide, and VP/ /LP shunts reduce complications and recurrence. Personalised plans addressing elevated intracranial pressure are crucial for successful outcomes. es_ES
dc.language.iso eng es_ES
dc.publisher Państwowy Zakład Wydawnictw Lekarskich es_ES
dc.rights info:eu-repo/semantics/openAccess
dc.subject Neurosurgery es_ES
dc.subject Neurocirugía es_ES
dc.subject Rhinorrhea es_ES
dc.subject Rinorrea es_ES
dc.subject Seudotumor Cerebral es_ES
dc.subject Pseudotumor Cerebri es_ES
dc.title Spontaneous rhinorrhea and idiopathic intracranial hypertension: a complex and challenging association es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.type info:eu-repo/semantics/publishedVersion
dc.description.fil Fil: Ruella, Mauro Emiliano. Fleni. Departamento de Neurocirugía; Argentina.
dc.relation.ispartofVOLUME 58
dc.relation.ispartofNUMBER 1
dc.relation.ispartofPAGINATION 31-37.
dc.relation.ispartofCOUNTRY Polonia
dc.relation.ispartofCITY Varsovia
dc.relation.ispartofTITLE Neurologia i neurochirurgia polska
dc.relation.ispartofISSN 1897-4260
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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