Evidence map›Paper›PMID 42404188›Full record

ArticleJournal of neurological surgery. Part B, Skull base2026

Postoperative CSF Characteristics After Extended Endoscopic Skull Base Surgery: Case Series and Review of the Literature.

Lachlan R Evans, Georgia M Dawson, Yi Chen Zhao, James A King

Abstract read
In one paragraph

Article in Journal of neurological surgery. Part B, Skull base, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lachlan R EvansDepartment of Neurosurgery, The Royal Melbourne Hospital, Parkville, Australia.ORCID 0000-0001-5788-3578
Georgia M DawsonDepartment of Neurosurgery, The Royal Melbourne Hospital, Parkville, Australia.
Yi Chen ZhaoDepartment of Otolaryngology, Head and Neck Surgery, The Royal Melbourne Hospital, Parkville, Australia.
James A KingDepartment of Neurosurgery, The Royal Melbourne Hospital, Parkville, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extended endoscopic endonasal approaches (EEA) to the skull base are associated with a greater risk of CSF leak and infection than standard trans-sellar cases. Postoperative CSF characteristics such as intracranial pressure, cytology, and microbiology are closely associated with this risk but have not previously been described. Study Design: Consecutive patients undergoing extended EEA at our tertiary center underwent lumbar puncture 3 to 5 days after surgery in accordance with local protocol. Opening pressure (OP) and CSF characteristics were obtained from the medical record and reported descriptively. The incidence of CSF leak, meningitis, and any predictive factors of these complications were then evaluated. Results: A total of 43 patients met inclusion criteria, of which 36 were female (83.7%) and 24 (55.8%) underwent EEA for anterior fossa meningioma. Out of 43 patients, 28 (65.1%) had a recorded OP (median 16 cmH Conclusion: The risk of CSF leak and meningitis in a modern cohort of patients undergoing extended EEA is low. However, 32.1% of patients in this cohort had an elevated opening pressure and 4.7% had unexpected CSF pleocytosis. Careful consideration of these factors and their possible impact on postoperative morbidity is essential.

Indexed as

complicationsextended endoscopic approachskull base surgery

Identifiers

PMID42404188
PMCPMC13331663

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.