Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea

Kyle P. Allen, Carlos L. Perez, J. Walter Kutz, Deniz Gerecci, Peter S. Roland, Brandon Isaacson

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objectives/Hypothesis To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO). Study Design Case series with chart review at a tertiary care academic medical center following institutional review board approval. Methods A retrospective review was performed of patients undergoing operative repair of SCSFO between January 2007 and May 2012. Results Thirty-eight patients underwent operative repair of SCSFO. Of these, 22 underwent postoperative lumbar puncture with measurement of opening pressure. The opening pressure was elevated (> 20 cm/H20) in eight patients (36.4%). Preoperative magnetic resonance imaging was available for review by a neuroradiologist in 27 patients. Radiographic evidence of elevated intracranial pressure (ICP) was present in 48.1% of patients. Conclusion Elevated ICP is common in patients with SCSFO. However, as only a minority of patients have elevated ICP, it is not the sole factor in the development of SCSFO. Level of Evidence 4. Laryngoscope, 124:251-254, 2014

Original languageEnglish (US)
Pages (from-to)251-254
Number of pages4
JournalLaryngoscope
Volume124
Issue number1
DOIs
StatePublished - Jan 2014

Keywords

  • Cerebrospinal fluid otorrhea
  • idiopathic intracranial hypertension

ASJC Scopus subject areas

  • Otorhinolaryngology

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