Role of galeal - Pericranial flap in reducing postoperative CSF leak in patients with intracranial endoscopic procedures

Aaron Mohanty, Ravi Suman

Research output: Contribution to journalArticle

11 Scopus citations


Objective: The authors describe a simple technique to reduce the incidence of cerebrospinal fluid (CSF) leak following endoscopic third ventriculostomy and other neuroendoscopic procedures. Methods: After the scalp incision, the galea and pericranium are reflected in a single layer after the scalp incision which is then closed in a watertight fashion after the procedure is completed. The securely closed flap prevents minor CSF leaks which would have otherwise required intermittent CSF drainage procedures. Conclusion: This simple procedural modification is effective in children with thin cortical mantle and large ventricles who are otherwise highly susceptible for CSF leak in the postoperative period.

Original languageEnglish (US)
Pages (from-to)961-964
Number of pages4
JournalChild's Nervous System
Issue number8
StatePublished - Aug 1 2008



  • CSFleak
  • Complication
  • Endoscopic third ventriculostomy
  • Galea
  • Hydrocephalus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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