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- Alexey Nikolaevich Shkarubo, Dmitry Nikolaevich Andreev, Ilia Valerievich Chernov, and Sinelnikov Mikhail Yegorovich.
- Department of Neurosurgery, N.N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation.
- World Neurosurg. 2021 Aug 1; 152: 114-120.
BackgroundCerebrospinal fistulas of the clivus region often result from previous surgical intervention at the skull base. The localization and size of the fistula determine the appropriate treatment strategy. When flap closure is not possible, the microsuture technique with autograft placement provides a favorable outcome.MethodsWe present a technical report on the application of the microsuture technique for clivus region cerebrospinal fluid fistula closure in a patient with previous chordoma treatment and nonspecific coronavirus disease 2019 complications.ResultsThe application of the microsuture technique resulted in stable remission of the fistula and complete regression of the clinical manifestations.ConclusionsThe microsuture technique for clivus region fistula closure is a potentially valuable alternative to vascularized flap closure.Copyright © 2021 Elsevier Inc. All rights reserved.
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