Skip to main content
AAO-HNSF 2024 Annual Meeting & OTO EXPO Main banner
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Back

Panel Presentations

Otology/Neurotology

Contemporary Evaluation and Management of Lateral Skull Base Spontaneous Cerebrospinal Fluid Leaks

Tuesday, October 1, 2024
9:30 AM – 10:30 AM EDT
Location: MBCC, 222
CME/MOC Credit: 1
Disclosure(s):
Mallory J. Raymond, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Olga P. Fermo, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Deepa J. Galaiya, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: The incidence of lateral skull base spontaneous cerebrospinal fluid (sCSF) leaks has been rising, but diagnostic and management practices still vary considerably. While the association between lateral skull base sCSF leaks and idiopathic intracranial hypertension (IIH) is well established, the underlying etiology of leaks for many patients remains unknown. Additionally, though repair of sCSF leaks has traditionally been recommended to reduce the risk of meningitis, quantifying the risk reduction has remained elusive, and there exist diverse opinions on the timing of and approach to repair. Finally, reduction of intracranial pressure pre- and post-operatively, both in patients with and without IIH, remains controversial. This panel brings together neurotologists and neurologists with clinical and academic expertise in the care of patients with lateral skull base sCSF leaks to discuss these controversies and present the most recent data and practice options for sCSF leak evaluation, including tympanostomy and beta-2 transferrin testing, preoperative imaging, surgical approaches and decision making, IIH diagnostic tools, and intraoperative and postoperative CSF dynamics management.

Learning Objectives:

  1. Recognize the presentation of lateral skull base sCSF leaks and IIH.
  2. Describe the value of preoperative laboratory, radiographic and procedural testing.
  3. Develop patient-centered, data-driven approaches to sCSF leak repair and management of comorbid IIH.

    Moderator(s)

  • Mallory J. Raymond, MD

    Assistant Professor
    Mayo Clinic Florida
    Jacksonville, Florida, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Panelist(s)

  • Olga P. Fermo, MD

    Neurologist
    Mayo Clinic Florida
    Jacksonville, FL, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • DG

    Deepa J. Galaiya, MD

    Assistant Professor of Otolaryngology - Head and Neck Surgery
    Johns Hopkins
    Baltimore, Maryland, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • PW

    Peter C. Weber, MD, MBA

    Professor
    Boston University
    Boston, MA, United States

    Disclosure information not submitted.