Presented as a poster at the American Academy of Otolaryngology–Head and Neck Surgery Annual Meeting, Washington DC, September9–12, 2012.
Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea
Article first published online: 26 JUN 2013
© 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 124, Issue 1, pages 251–254, January 2014
How to Cite
Allen, K. P., Perez, C. L., Kutz, J. W., Gerecci, D., Roland, P. S. and Isaacson, B. (2014), Elevated intracranial pressure in patients with spontaneous cerebrospinal fluid otorrhea. The Laryngoscope, 124: 251–254. doi: 10.1002/lary.24251
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 20 DEC 2013
- Article first published online: 26 JUN 2013
- Accepted manuscript online: 18 JUN 2013 03:40AM EST
- Manuscript Revised: 22 MAY 2013
- Manuscript Accepted: 22 MAY 2013
- Manuscript Received: 6 MAR 2013
- Cerebrospinal fluid otorrhea;
- idiopathic intracranial hypertension
To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO).
Case series with chart review at a tertiary care academic medical center following institutional review board approval.
A retrospective review was performed of patients undergoing operative repair of SCSFO between January 2007 and May 2012.
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.
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