Coiteiro D, Távora L, Antunes J L
Department of Neurosurgery, University of Lisbon, Hospital de Santa Maria, Portugal.
Neurosurgery. 1995 Oct;37(4):826-8. doi: 10.1227/00006123-199510000-00030.
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.
此前尚无经斜坡的自发性脑脊液瘘的报道。我们报告两例此类病例，描述其治疗方法，并提出一种病理生理学解释。病例1中基底动脉的搏动效应以及病例2中通过反复瓦尔萨尔瓦动作导致的颅内压急剧升高，作用于先天性薄骨，似乎是斜坡渗漏的可能原因。
