Abstract：
Spontaneous spinal cerebrospinal fluid (CSF) leaks are uncommon but can be neurologically debilitating. When initial treatments fail, definitive repair or closure of the leak is indicated. Depending upon the type of leak present, innovative strategies for their treatment have been developed. Among them are open surgical techniques using a transdural approach for the closure of ventral CSF leaks, minimally invasive tubular techniques for the reduction and repair of lateral meningeal diverticula, and endovascular embolization of CSF-venous fistulas. Illustrative cases demonstrating the indications for and implementation of these techniques are provided.
摘要：
自发性脊髓脑脊液（CSF）泄漏并不常见，但可能会使神经系统衰弱。当初始治疗失败时，指示泄漏的最终修复或关闭。根据存在的泄漏类型，已经制定了治疗的创新策略。其中包括使用硬膜入路封闭腹侧CSF渗漏的开放式手术技术，微创肾小管技术复位和修复外侧脑膜憩室，和脑脊液静脉瘘的血管内栓塞。提供了说明这些技术的指示和实现的说明性案例。
