ABSTRACT

80% of traumatic leaks are due to non-surgical trauma. This chapter includes discussion of the possible causes of the anterior cranial fossa being a common site, as compared to the middle and posterior cranial fossae. The known classifications of traumatic CSF leaks, their manifestations, and investigating modalities available are described. A two-week conservative management period can be tried in traumatic CSF leaks, failing which surgical intervention is needed, as the risk of developing meningitis increases after that. Surgical modalities from the bifrontal craniotomy and transnasal approach to the endonasal endoscopic approach are dealt with in this chapter.