Cerebrospinal fluid leakage during endoscopic forehead lifting

PURPOSE: To report a case of endoscopic brow lift in which cerebrospinal fl uid leakage was encountered. METHOD: A 69-year old otherwise healthy man underwent endoscopic forehead l ifting. RESULTS: An area of strong adherence was encountered in the area of the lef t superior paracentral scalp incision. As the adherence was released, clear fluid extruded (cerebrospinal fluid) and a burr hole was discovered. Absor bable gelatin sponge was placed over the dural defect and burr hole, and cl osure of the endoscopic scalp incisions was accomplished. CONCLUSION: Caution is suggested in performing this procedure when a patien t has any history of a head trauma, (Am J Ophthalmol 1999;128:531-532. (C) 1999 by Elsevier Science Inc. All rights reserved.).