To evaluate long-term postoperative symptoms, recovery and treatment responses at least 12 months after surgical repair of spinal CSF leaks in patients with spontaneous intracranial hypotension (SIH) and iatrogenic CSF leaks.
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this retrospective study on surgical outcomes in spontaneous intracranial hypotension is primarily relevant to neurosurgeons and neurologists, not audiology practice.
Spontaneous intracranial hypotension can cause auditory symptoms including hearing loss and tinnitus, so understanding long-term surgical outcomes may inform when audiologists should refer patients for further neurological workup.
- 01Retrospective design evaluated patients ≥12 months post-surgery for spinal CSF leak repair.
- 02Focus on symptom trajectories and treatment response after surgical intervention.
- 03Spontaneous intracranial hypotension (SIH) can mimic or co-present with auditory complaints.
- 04Long-term follow-up data on this population remain limited in the literature.
- 05Findings may help refine patient selection and post-op monitoring protocols.
Surgical repair of spinal CSF leaks results in measurable long-term changes in symptom trajectories at ≥12 months post-op.
studypartially supported- PMID
- 42504819
- DOI
- 10.1017/cjn.2026.10638.
- Journal
- Canadian Journal of Neurological Sciences
- Publication type
- research_article
- Evidence level
- 4
- Population
- Adults with spontaneous intracranial hypotension who underwent surgical repair of spinal CSF leaks
- Intervention
- Surgical repair of spinal CSF leaks
Primary outcomes
Symptom trajectories at ≥12 months post-surgery; Postoperative treatment response