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Cerebrospinal fluid leak treatment with surgical leak repair

Cerebrospinal fluid leak treatment with surgical leak repair
Media Files


Type of care




About the offer

When conservative treatment is unsuccessful and liquorrhea lasts for more than seven days, the patient needs the help of neurosurgeons to seal the CSF leak. The surgery technique is selected individually, considering the severity of the illness. CSF surgery eliminates trauma or defect of the skull and the dura mater, removes a cavity with cerebrospinal fluid from the brain or spinal cord, and restores the cranial cavity's tightness using adhesive compositions. Different materials and techniques are used depending on the surgical technique when repairing defects in the bones at the base of the skull. These include tissues like the periosteum, wide fascia from the thigh, adipose tissue, cartilage from the nasal septum, and adhesive compositions like Tissucol and Tachocomb. There are three methods to perform the surgery: trepanation of the frontal area (transcranial surgery), bypass surgery, or endoscopic technique through the nasal cavity. The surgery must be conducted in a clinic, typically requiring a hospital stay of 10-14 days. Usually, patients only need one procedure. However, suppose the lateral wall of the sphenoid sinus is harmed. In that case, additional interventions may be necessary due to the challenge of identifying defects during surgery.

What’s included

Medical service

  • clinical history-taking
  • medical records review
  • physical examination
  • consultation with a neurosurgeon
  • consultation with an anesthesiologist
Laboratory tests
  • complete blood count (CBC)
  • blood type test (ABO, Rh)
  • biochemical analysis of blood (kidney and liver function tests, electrolytes, glucose, lipid panel)
  • oxidative/fermentation glucose test
  • beta-2 transferrin test
  • inflammation blood tests
  • coagulation studies
  • urinalysis
  • neurological examination
  • myelography
  • MRI/CT scan
  • lumbar puncture with CSF sample (on the indication, price is not included)
  • electrocardiogram (ECG)
  • chest X-ray
  • preoperative patient preparation
  • CSF leak repair surgery
  • postoperative care
  • symptomatic treatment
  • cost of essential medicines
  • cost of essential materials
  • general anesthesia
  • hospitalization
  • nursing service
  • discharge medical records
  • further recommendations


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How long does the offer take?

The offer is designed for 14 days.

Does the offer require you to stay in the clinic overnight?

Where can I see the media files?

What are the age restrictions?

The offer is eligible for both adults and kids.

Can I customize the content of the offer?

Yes, the components of the deal can be changed. Get in touch with a vendor to create a personalized proposal.

Individual cost estimate. Non-binding 100% free assessment.

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