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ROBERT H. MILLER, MD
New Orleans

Arch Otolaryngol Head Neck Surg. 1988;114(12):1367.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

At the Triological Society meeting in Palm Beach, Fla, Mark Persky, MD, and coauthors presented the New York University experience with cerebrospinal fluid leaks. Persky pointed out that the incidence of cerebrospinal fluid leaks is increasing due to more aggressive surgery at the skull base, as well as the escalating occurrence of trauma. Their study was intended to evaluate the effectiveness of the extracranial approach to the repair of cerebrospinal fluid leaks. They reviewed the records from 1981 through 1987 of 48 patients who underwent repair of a cerebrospinal fluid leak. Their ages ranged from 8 to 75 years, with a nearly equal sex distribution. Thirty-nine patients had a traumatic cause (31 surgical and eight accidental) and nine leaks were spontaneous in nature. The three most common presenting symptoms were rhinorrhea, headaches, and meningitis.

Several different testing techniques were utilized. Dipstick testing of the fluid was performed on 24 patients . . . [Full Text PDF of this Article]

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