alexa Acute traumatic CSF fistulae: the risk of intracranial infection.
Neurology

Neurology

Journal of Neurology & Neurophysiology

Author(s): Eljamel MS, Foy PM

Abstract Share this page

Abstract The management of acute traumatic cerebrospinal fluid (CSF) fistulae is still a matter of debate and hinges about what is perceived to be the risk of subsequent intracranial infection. We have therefore carried out a retrospective analysis of 160 cases of traumatic CSF leaks to assess the incidence, cumulative risk and prognosis of intracranial infection. The overall incidence of meningitis in this group before surgical dural repair was 30.6\% (49/160), the cumulative risk exceeded 85\% at 10 years follow-up and the meningitis was fatal in 4.1\% (2/49). The recurrence of CSF leakage after initial spontaneous cessation was 7\% and meningitis was recurrent in 30.6\% (15/49). Prophylactic antibiotics had reduced the risk of meningitis from 61 to 34\%. The commonest pathogen was pneumococcus and the CSF leakage had stopped within 7 days in 60\% of those who developed meningitis and in 50\% of those who did not develop meningitis. Meningitis is still a serious complication of post-traumatic CSF fistulae and is potentially fatal despite modern therapeutic agents.
This article was published in Br J Neurosurg and referenced in Journal of Neurology & Neurophysiology

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords