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Decreased Rate of CSF Leaks after Skull Base Fractures in the 21st Century: A Two-Institution Experience

Brittany M. Stopa, Oscar A. Leyva,Cierra Harper, Kyla A. Truman, Carleton E. Corrales,Timothy R. Smith,William B. Gormley

Journal of neurological surgery Part B, Skull base(2020)

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摘要
Introduction: Cerebrospinal fluid (CSF) leaks are among the possible complications in patients with skull base fractures. CSF leaks can lead to meningitis so proper detection and management is crucial. Historically, the literature reports a rate of CSF leaks in skull base fracture patients of 10 to 30%. However, with the advent of advanced imaging modalities, such as thin slice computed tomography (CT) scanning, detection of skull base fractures has become more refined and accessible. A 2013 report from a statewide patient database of over 10,000 patients found a rate of CSF leaks in adult skull base fracture patients of <2%. To investigate further the proposed potential decrease in the rate of CSF leaks, we conduct here an institutional retrospective review.
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