![]() The success rates of both of these approaches are quite similar even though endoscopic repair has far less risk associated with it than the more traditional open approach towards treatment of a CSF leak. The procedure involves making an incision in the scalp, identifying the tear and repairing it. Īn open approach is taken if the CSF leak causes fluid to drain from the ears. In this procedure, an endoscope is passed through the nose to the area of the tear which is repaired by tools passed through this endoscope. Īn endoscopic approach is effective in treating CSF leaks that occur due to a tear in the dura mater in the front of the head causing the fluid to leak from the nose. The repair of the tear is either done using an endoscopic or an open approach. The surgery involves repairing the tear in the dural matter with suturing or stitching to plug the leak and prevent any further CSF leak. People with meningitis as a result of CSF leak also are recommended surgical treatments to deal with the leak. Surgery is also recommended in cases where a blood clot or a herniated brain tissue is responsible for the CSF leak. Surgery for CSF Leak: A surgery is normally recommended for people where a CSF leak does not heal on its own and all other forms of conservative and invasive treatments are deemed to be ineffective. However, in the other group only 40% experienced full recovery and the others required additional treatments. The study showed that 91% of people with CSF leak due to medical procedure required just one epidural patch to successfully cure the leak. Īccording to a study done in 2016 where the success rate of an epidural patch for CSF leaks was analyzed, a group of people were divided into two where one group had CSF leak due to medical procedure and the other group there was no identifiable cause for the leak. ![]() This procedure is generally successful but is not optimal for all types of CSF leaks. Approximately, 25 mL of the patient’s blood is taken and injected in the space around the area of the tear. This is a procedure in which blood of the patient is used to patch up the area of the dural tear to plug the leak. An invasive treatment involves performing an epidural blood patch. Invasive Treatments for CSF Leak: This form of treatment becomes necessary when there is no improvement seen with conservative treatments. Sometimes, infusion of caffeine injections is also quite effective in managing the symptoms caused by a CSF Leak. It includes ample amount of rest, proper hydration, and pain medications. Ĭonservative Treatments for CSF Leak: This form of treatment for a CSF leak focuses mainly on managing the symptoms caused by it. A CSF leak can also lead to serious central nervous system infections like meningitis. A lack of adequate blood supply to the brain decreases its function and can destruct the brain parenchyma. A CSF leak can be extremely detrimental to the functioning of the brain as it disrupts the supply of oxygen to the most vital organ of the body. The CSF always remains within its allotted space however, at times, there is a leak in the CSF. The CSF also allows the brain to retain its shape despite not having any potent support structure. It also regulates the temperature in the central nervous system. The function of the CSF is to protect the brain and the spinal cord as it provides the necessary cushion to them from any injury. ![]() This fluid is primarily found in the ventricles that surround the brain and within the spinal column. Cerebrospinal Fluid also known as the CSF is a fluid constituted of proteins and glucose that surrounds the subarachnoid space of the central nervous system. ![]()
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