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

16 Citations (Scopus)

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 - 2014

Fingerprint

Cerebrospinal Fluid Otorrhea
Intracranial Hypertension
Laryngoscopes
Pressure
Spinal Puncture
Research Ethics Committees
Tertiary Healthcare
Magnetic Resonance Imaging

Keywords

  • Cerebrospinal fluid otorrhea
  • idiopathic intracranial hypertension

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

Cite this

Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea. / Allen, Kyle P.; Perez, Carlos L.; Kutz, J. Walter; Gerecci, Deniz; Roland, Peter S.; Isaacson, Brandon.

In: Laryngoscope, Vol. 124, No. 1, 2014, p. 251-254.

Research output: Contribution to journalArticle

@article{cf8999d151614564b66cbf2cb88c86f3,
title = "Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea",
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",
keywords = "Cerebrospinal fluid otorrhea, idiopathic intracranial hypertension",
author = "Allen, {Kyle P.} and Perez, {Carlos L.} and Kutz, {J. Walter} and Deniz Gerecci and Roland, {Peter S.} and Brandon Isaacson",
year = "2014",
doi = "10.1002/lary.24251",
language = "English (US)",
volume = "124",
pages = "251--254",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "1",

}

TY - JOUR

T1 - Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea

AU - Allen, Kyle P.

AU - Perez, Carlos L.

AU - Kutz, J. Walter

AU - Gerecci, Deniz

AU - Roland, Peter S.

AU - Isaacson, Brandon

PY - 2014

Y1 - 2014

N2 - 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

AB - 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

KW - Cerebrospinal fluid otorrhea

KW - idiopathic intracranial hypertension

UR - http://www.scopus.com/inward/record.url?scp=84895846788&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84895846788&partnerID=8YFLogxK

U2 - 10.1002/lary.24251

DO - 10.1002/lary.24251

M3 - Article

VL - 124

SP - 251

EP - 254

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 1

ER -