Spontaneous Cerebrospinal Fluid Fistula through the Clivus
- 1 October 1995
- journal article
- case report
- Published by Wolters Kluwer Health in Neurosurgery
- Vol. 37 (4) , 826-828
- https://doi.org/10.1227/00006123-199510000-00030
Abstract
There have been no previous reports of a spontaneous cerebrospinal fluid fistula through the clivus. We present two such cases, describe their management, and propose a physiopathological explanation. The pulsating effect of the basilar artery in Patient 1 and brisk increases in intracranial pressure through repeated Valsalva maneuvers, acting on a congenitally thin bone in Patient 2, seem to be the plausible causes for the clival leakage.Keywords
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