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- W3193942880 abstract "The presence of concomitant skull base defects resulting in spontaneous CSF rhinorrhea is an extremely rare entity with only 7 such cases reported to date. All of these cases whether done endoscopically/transcranially initially needed transmastoid or transcranial repair later apart from one report where both defects were repair simultaneously. We report the first case repaired simultaneously via a single craniotomy. Identification of such defects pre-operatively and intra-operatively are very important to prevent recurrence and associated morbidities. We present a case report of a 38-year-old patient with a double skull base defect who presented with spontaneous CSF rhinorrhea. Since the two defects were not in the same coronal plane and thus difficult to approach simultaneously via endoscopy hence a transcranial approach using neuro-navigation to repair both defects was undertaken. Also, a complete review of literature of all cases of double skull base defects showed that simultaneous access of both defects is essential to prevent re-surgery and hence a single craniotomy was used to repair both these defects. Any case presenting with spontaneous CSF rhinorrhea should undergo repair immediately after a thorough investigation of the site of the leak. This is a benign condition which if treated early can lead to a very satisfying resolution of symptoms. Preoperative identification of all defects can prevent re-surgery and simultaneous repair should be the goal at all times." @default.
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- W3193942880 date "2021-12-01" @default.
- W3193942880 modified "2023-09-25" @default.
- W3193942880 title "Image guided repair of spontaneous CSF rhinorrhoea secondary to double skull base defect – Case report and review of literature" @default.
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- W3193942880 doi "https://doi.org/10.1016/j.inat.2021.101333" @default.
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