Post-traumatic CSF fistulae, the case for surgical repair

Br J Neurosurg. 1990;4(6):479-83. doi: 10.3109/02688699008993796.


The management of acute post-traumatic CSF fistulae is still a matter of controversy. A long-term analysis of 160 patients with acute post-traumatic non-iatrogenic dural fistulae was undertaken to establish the value of surgical dural repair. One hundred and forty-nine patients underwent dural repairs following traumatic CSF rhinorrhoea. The risk of meningitis following surgical dural repair was 4%. The operative mortality was 1.3% (2/151), as was the negative exploration rate. The first dural repair was successful in 90% and a second dural repair was required in 10%. These results are in favour of surgical dural repair which can be undertaken with a low morbidity and mortality and is highly successful in preventing meningitis following traumatic CSF rhinorrhoea.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cerebrospinal Fluid Rhinorrhea / complications
  • Cerebrospinal Fluid Rhinorrhea / surgery*
  • Child
  • Child, Preschool
  • Craniocerebral Trauma / complications
  • Craniocerebral Trauma / surgery*
  • Dura Mater / surgery*
  • Female
  • Fistula / surgery*
  • Humans
  • Male
  • Meningitis / etiology
  • Middle Aged
  • Postoperative Complications
  • Recurrence