Journal Information
Vol. 22. Issue 2.
Pages 150-156 (January 2011)
Share
Share
Download PDF
More article options
Vol. 22. Issue 2.
Pages 150-156 (January 2011)
Otolicuorrea espontánea en el adulto. Presentación de dos casos y revisión de la literatura
Adult spontaneous cerebrospinal fluid otorrhea. Report of two cases and review of the literature
Visits
2480
L. Galbarriatu
,
Corresponding author
lara.galbarriatugutierrez@osakidetza.net

Correspondencia: Servicio de Neurocirugía. Hospital Universitario de Cruces. Plaza Cruces-Gurutzeta s/n. 48903 Barakaldo Vizcaya.
, J. Aurrecoechea*, E. Ruiz de Gopegui*, I. Pomposo*,****, G. Bilbao*,****, S. González*, J.I. Undabeitia**, J.J. Novo**, K. Aguirrebengoa***, J.M. Garibi*,****
* Servicios de Neurocirugía Unidad de Enfermedades Infecciosas. Hospital Universitario de Cruces
** Otorrinolaringología Unidad de Enfermedades Infecciosas. Hospital Universitario de Cruces
*** Unidad de Enfermedades Infecciosas. Hospital Universitario de Cruces
**** Servicios de Neurocirugía Universidad del País Vasco
This item has received
Article information
Resumen
Introducción

Las fístulas espontáneas de LCR no son una entidad frecuente y pueden ser infradiagnosticadas en el adulto. Para algunos autores, debe sospecharse esta patología en cualquier paciente mayor de 50 años con episodios de otitis serosas recurrentes y ausencia de antecedentes otológicos. La meningitis es su complicación más grave, por lo que es prioritario un diagnóstico precoz y certero.

Objetivo

Presentar dos casos clínicos atendidos en nuestro servicio y revisar la literatura científica existente al respecto.

Conclusión

El tratamiento de estas fístulas atraumáticas es eminentemente quirúrgico, pudiendo emplear la craneotomía de fosa media o la vía transmastoidea. En el sellado debe emplearse una técnica multicapa, combinando materiales autólogos y artificiales para conseguir mejores resultados.

Palabras clave:
Otolicuorrea espontánea
Fístula de LCR
Otitis serosa media
Defectos hueso temporal
Abreviaturas:
LCR
CAE
Summary
Introduction

Spontaneous cerebrospinal fluid otorrhea is a relatively rare entity and can be easily missed in adults. Every adult older than 50 years with a negative history of otologic disease who has recurrent serous otitis media should be evaluated for this pathology. Meningitis is the most serious complication, so there is no doubt that the condition needs immediate attention and correction.

Objective

We present two patients who were diagnosed with spontaneous CSF otorrhea and make a review of what is reported about this topic.

Conclusion

Surgical repair is mandatory to seal these nontraumatic CSF leaks. There are two main surgical approaches, the middle fossa craniotomy and the transmastoid approach. A multilayered closure technique in which autologous and artificial materials are combined is considered to result in the highest rate of success.

Key words:
Spontaneous CSF otorrhea
CSF leak
Serous otitis media
Temporal bone defects

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?