MANAGEMENT OF POSTTRAUMATIC CEREBROSPINAL FLUID LEAKAGE AND ITS COMPLICATIONS IN TABRIZ IMAM KHOMEINI HOSPITAL

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ASGHARI B.; ABBASZADEH J.; SAIDIFAR A.; SHIMA M.

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Journal: Studies in Medical Sciences Year:2003 | Volume:14 | Issue:3 Page(s): 205-210

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Title

MANAGEMENT OF POSTTRAUMATIC CEREBROSPINAL FLUID LEAKAGE AND ITS COMPLICATIONS IN TABRIZ IMAM KHOMEINI HOSPITAL

Author(s)

ASGHARI B. | ABBASZADEH J. | SAIDIFAR A. | SHIMA M. | Issue Writer Certificate

Keywords

SKULL BASE FRACTURESQ4

RHINORRHEAQ4

OTORRHEAQ4

BACTERIAL MENINGITISQ4

ANTIBIOTK PROPHYLAXISQ4

Abstract

Background & Aim: Posttraumtic cerebrospinal fluid (CSF) leakage frequently results from SKULL BASE FRACTURES. Risk of meningitis increases with prolonged CSF leakage prophylactic. Antibiotic prophylaxis in these cases is contraversial. Materials & Methods: In this retrospective study; among 1670 head trauma cases, 108 patients evaluated whom afflicted by posttraumatic CSF leakage, and admitted in neurosurgery ward of Tabriz Imam Khomeini hospital, from 1376-1380. Forty seven patients had RHINORRHEA and 61 had OTORRHEA. Results: Incidence of meningitis in patients with RHINORRHEA (2918%) was significartly higher than patients with OTORRHEA(9.8%) (P=0.0047). The incidence of meningitis was higher significantly, when RHINORRHEA or OTORRHEA continued for more than 7 days (P=0.0001). Prophylactic antibiotic didn't cause significant difference in occurance of meningitis in both groups of RHINORRHEA and OTORRHEA (P>0.05). In group without antibiotic prophylaxis, streptococcus pneumonia was the most common cause of meningitis (90 %). Conclusion: CSF leakage often ceases with conservative management. Prolonged CSF leakage associates with high rate of meningitis. Prophylactic antbiotic hasn't significant effect for prevention. Early diagnosis and treatment of CSF leakage are important factors in prevention of meningitis and its morbidides.

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APA: Copy

ASGHARI, B., ABBASZADEH, J., SAIDIFAR, A., & SHIMA, M.. (2003). MANAGEMENT OF POSTTRAUMATIC CEREBROSPINAL FLUID LEAKAGE AND ITS COMPLICATIONS IN TABRIZ IMAM KHOMEINI HOSPITAL. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), 14(3), 205-210. SID. https://sid.ir/paper/64100/en

Vancouver: Copy

ASGHARI B., ABBASZADEH J., SAIDIFAR A., SHIMA M.. MANAGEMENT OF POSTTRAUMATIC CEREBROSPINAL FLUID LEAKAGE AND ITS COMPLICATIONS IN TABRIZ IMAM KHOMEINI HOSPITAL. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES)[Internet]. 2003;14(3):205-210. Available from: https://sid.ir/paper/64100/en

IEEE: Copy

B. ASGHARI, J. ABBASZADEH, A. SAIDIFAR, and M. SHIMA, “MANAGEMENT OF POSTTRAUMATIC CEREBROSPINAL FLUID LEAKAGE AND ITS COMPLICATIONS IN TABRIZ IMAM KHOMEINI HOSPITAL,” STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), vol. 14, no. 3, pp. 205–210, 2003, [Online]. Available: https://sid.ir/paper/64100/en

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