Cases of csf rhinorrhea. Medical search. Frequent questions

Diagnosis of Cerebrospinal Fluid Rhinorrhea: Lack of Specificity of the Glucose Oxidase Test Tape. (stanford.edu)
Nasal endoscopic repair of cerebrospinal fluid rhinorrhea: case series of ten patients. (pakmedinet.com)
Radiographically this lesion appeared as a mucocele because of its expansile nature, however non-traumatic mucoceles have not been associated with cerebrospinal fluid rhinorrhea. (mssm.edu)
Chronic cerebrospinal fluid rhinorrhea as an initial presentation of chordoma: illustrative case. (ouhsc.edu)
Cerebrospinal fluid rhinorrhea in patients with untreated pituitary adenoma: report of two cases. (unisa.it)
The disease manifested as persistent spontaneous cerebrospinal fluid rhinorrhea and repeated meningitis in a 66-year-old Japanese man. (medscape.com)
A right frontotemporal craniotomy was performed for spontaneous cerebrospinal fluid rhinorrhea, and the defective dura mater region was patched with temporal fascia. (medscape.com)
[ 2 , 3 ] By contrast, basal encephalocele diagnosed in adulthood is difficult to diagnose in childhood because abnormalities of the countenance are lacking, and it is incidentally found with spontaneous cerebrospinal fluid rhinorrhea in many cases. (medscape.com)
Cerebrospinal fluid rhinorrhea is more common than generally thought. (unich.it)
Identification and localisation of cerebrospinal fluid rhinorrhea of the roof of the ethmoid and sphenoid cells. (ent-review.com)

Conservative treatment has been advocated in cases of immediate-onset CSF rhinorrhea following accidental trauma, given the high likelihood of spontaneous resolution of the leak. (medscape.com)
An axial CT of a patient with a spontaneous CSF leak reveals a defect in the posterior table of the left frontal sinus. (medscape.com)
Cases included spontaneous CSF leaks ( n = 1), complex traumatic frontoethmoidal fractures with suspected CSF leak ( n = 2), multiloculated congenital or acquired hydrocephalus ( n = 3), intraventricular tumor ( n = 1), suspected postoperative arachnoiditis ( n = 1), complex midline defect ( n = 1), and acquired orbital meningoencephalocele ( n = 1). (ajnr.org)
In suspected posttraumatic CSF leaks, the procedure established with precision the place of the leak in 1 patient and excluded it in the other. (ajnr.org)
Surgical reconstruction utilizes a graduated approach involving vascularized, nonvascularized, and adjunctive techniques to achieve closure of the CSF leak. (ochsner.org)
Subsequent CT cisternography demonstrated CSF leak extending into the right pneumatized petrous apex cells, Eustachian tube, middle ear cavity, aditus, antrum and mastoid air cells. (springeropen.com)
In this study, we wish to highlight the existence of spontaneous CSF leak as an entity associated with hyper-pneumatized petrous bone and sphenoid sinus. (springeropen.com)
Please can someone tell me whether my anosmia is going to be permanent (one month already) and whether I might have had the CSF leak due to the blunt trauma of the tooth extraction and sinus perforation? (nyogmd.com)
Cerebrospinal fluid (CSF) leak - also called rhinorrhea - can be a result of blunt head trauma . (findmeacure.com)
The primary endpoint was the postoperative CSF leak rate. (neurosurgery.directory)
Adverse neurological signs and a CSF leak are correlated with an actual increase in ICP and are relieved after CSF shunt insertion. (unich.it)
They advocated complete removal of the posterior sinus table and ablation of the sinus in cases involving significant comminution or displacement of the posterior table with a persistent cerebrospinal fluid (CSF) leak. (pocketdentistry.com)

Two large meta-analyses of patients presenting with nonsurgical traumatic CSF leaks revealed no difference in the rates of ascending meningitis in patients treated with prophylactic antibiotics compared with patients treated with conservative measures alone. (medscape.com)

Several surgical options for repair of CSF leaks arising from the anterior skull base exist. (medscape.com)
The utility of a lumbar drain is limited in cases of a large skull base defect or iatrogenic CSF leaks. (medscape.com)
Conservative management includes watchful waiting, as some minor CSF leaks often stop spontaneously. (wikipedia.org)
MR imaging has proved invaluable in anatomic depiction of the CSF spaces and the surrounding neural and non-neural tissue, though there are still some clinical situations (ie, CSF-flow alterations, communicating or noncommunicating cyst masses bordering CSF pathways, or craniospinal CSF leaks) in which further imaging tests may be required for a definitive diagnosis. (ajnr.org)
Trauma, both accidental and iatrogenic, causes the majority of leaks, and trauma involving skull base and facial fractures is most likely to cause CSF rhinorrhea. (ochsner.org)
Results: Management of CSF leaks is dictated by the nature of the fistula, its location, and flow volume. (ochsner.org)
Conclusion: An active surgical approach to closing CSF leaks may provide better long-term outcomes in some patients compared to more conservative management. (ochsner.org)
Review of the literature revealed that 45% of cases are high pressure leaks and 55% of cases are normal pressure leaks. (mssm.edu)
Various contributory factors are attributed to formation of spontaneous CSF leaks such as idiopathic intracranial hypertension leading to prominent arachnoid granulations. (springeropen.com)
This case report highlights two cases of spontaneous CSF leaks associated with hyper-pneumatized petrous bone and sphenoid sinus. (springeropen.com)
Hyper-pneumatized petrous bone and paranasal sinuses can be attributed as a risk factor for formation of spontaneous CSF leaks. (springeropen.com)
Spontaneous CSF leaks may arise from defects in the skull base, in relation to the Tegmen tympani, Tegmen mastoideum, sigmoid sinus and posterior semicircular canal. (springeropen.com)
Leaks in these locations cause indirect CSF rhinorrhoea implying a communication of the subarachnoid space with the middle ear cavity. (springeropen.com)
Fibrin-coated collagen fleece patching may be a valuable method to prevent postoperative cerebrospinal fluid (CSF) leaks during EETS for pituitary adenoma resection 2) . (neurosurgery.directory)
Other SAEs include hygroma, cerebrospinal fluid (CSF) leaks, meningitis. (hpfb-dgpsa.ca)

A study by Albu et al indicated that in patients with CSF rhinorrhea caused by closed head trauma, leakage time can be significantly shortened by early placement of a lumbar drain. (medscape.com)
In the study, patients treated with early lumbar drain placement had a CSF leakage time of 4.83 days, compared with 7.03 days for those treated conservatively with bed rest and head elevation. (medscape.com)
Similarly, a literature review by Ratilal et al did not find evidence for the usefulness of antibiotic prophylaxis in patients with basilar skull fractures, with or without indication of CSF leakage. (medscape.com)
Evaluation of five randomized, controlled trials involving patients with CSF leakage found that when those treated with antibiotic prophylaxis were compared with controls, no significant difference existed with regard to the frequency of meningitis, all-cause mortality, meningitis-related mortality, and the need for surgical correction. (medscape.com)
3 , 4 Despite good anatomic demonstration of brain and spine tissue and CSF, there are still a number of pathologic conditions in which CSF contrast enhancement may be beneficial, including assessment of continuity and outline of subarachnoid spaces, abnormal CSF collections and leakage, arachnoid cysts, 5 or as a means to study CSF dynamics. (ajnr.org)
CSF fistula involves the leakage of fluid from the subarachnoid space to the extraarachnoidal space through a defect in the arachnoidea, the dura, or the epithelial tissue. (turkishneurosurgery.org.tr)
Although this leakage can occur along the cerebrospinal axis, it most often appears clinically as otorrhea and rhinorrhea. (turkishneurosurgery.org.tr)
aimed to compare the efficacy of a fibrin-coated collagen fleece (TachoSil) versus a dural sealant (DuraSeal) to prevent postoperative CSF leakage. (neurosurgery.directory)
Our primary endpoint was the rate of postoperative complications associated with CSF leakage. (neurosurgery.directory)
Postoperative complications associated with CSF leakage occurred in 24 (7.74%) and 28 (7.95%) procedures with or without TachoSil, respectively (p = 0.960). (neurosurgery.directory)
In the group of 34 patients affected by rhinorrhea, CSF leakage was controlled using different surgical treatments: CSF shunt placement in 16 cases, surgical repair of the sellar floor in three, and both procedures in the remaining 13. (unich.it)
Most posttraumatic cerebrospinal fluid fistulas are accompanied by rhinorrhea and the physician can easily diagnose a fistula (leakage) in case of a traumatic event. (rjor.ro)

Prior studies assessing the benefits of prophylactic antibiotic use in cases of traumatic CSF rhinorrhea have yielded mixed results. (medscape.com)
A randomized, prospective study by Gosal et al, however, suggested that acetazolamide may not aid in resolving traumatic CSF rhinorrhea and may instead cause harmful metabolic and electrolyte disturbances. (medscape.com)
CSF rhinorrhoea may be spontaneous, traumatic, or congenital. (wikipedia.org)
Traumatic CSF rhinorrhoea is the most common type of CSF rhinorrhoea. (wikipedia.org)
Rhinorrhea arose from traumatic skull base fractures in 6 and spontaneous meningocele in 3 cases, and clinoidectomy for aneurysm surgery in 1, firearm trauma in 1, surgery for tuberculum sellae meningioma in 1 and pseudotumor cerebri in 1 case. (dergisi.org)
This is a case of a young motorcyclist who was involved in a Road Traffic Accident (RTA) and presented with deteriorating level of consciousness and plain skull radiograph and Computed Tomography (CT) of the brain showed skull fractures, presence of air in both lateral ventricles and brain parenchyma confirmed the diagnosis of post-traumatic TP, but unfortunately patient was succumbed to death. (ijars.net)

CSF rhinorrhoea may be a complication of neurosurgery, such as functional endoscopic sinus surgery, and hypophysectomy (partial or complete removal of the pituitary gland). (wikipedia.org)
Endoscopic techniques have an important role in select cases. (ochsner.org)
We presented the etiology and endoscopic endonasal treatment results of 13 rhinorrhea cases not releated with endoscopic pituitary surgery between the years 2010 and 2013. (dergisi.org)
Endoscopic endonasal approach is becoming the first choice of rhinorrhea management thanks to its increasing use. (dergisi.org)

With regard to outcome, 85% of rhinorrhea cases and 95% of otorrhea cases improve spontaneously within a week. (turkishneurosurgery.org.tr)
Of the 40 individuals studied, 19 had otorrhea and 5 had rhinorrhea. (turkishneurosurgery.org.tr)
2] Rarely, CSF rhinorrhea or otorrhea without any cause may occur in IIH/ PTCS. (jpgo.org)

A subarachnoid lumbar drain may be placed to drain approximately 5-10 mL of CSF per hour. (medscape.com)
Two patients required lumbar drainage, and no revision repair was necessary to treat postoperative CSF rhinorrhea in the Tachosil group. (neurosurgery.directory)
All patients underwent an ICP and cerebrospinal fluid (CSF) dynamics evaluation through the use of a lumbar constant-rate infusion test. (unich.it)
As per these, the patient manifests symptoms of high intracranial tension, but there is no neurodeficit, or high opening cerebrospinal fluid (CSF) pressure on lumbar tap. (jpgo.org)

The most important complications associated with these fractures are cerebrospinal fluid (CSF) fistula, related infection, and pneumocephalus with fistula. (turkishneurosurgery.org.tr)
We report the rare case of a 19-year-old female patient with a penetrating head injury and 3 years long-term posttraumatic cerebrospinal fluid fistula complicated with recurrent meningitis. (rjor.ro)

Additionally, a suspicious focal dehiscence was observed in the right cribriform plate CSF pockets herniating into right ethmoid sinus. (springeropen.com)

This article discusses current concepts in the etiology, diagnosis, and treatment of CSF rhinorrhea, as well as long-term management of patients following successful treatment. (medscape.com)
Cerebrospinal fluid (CSF) fistulas are classified based on their etiology into congenital and acquired fistulas. (springeropen.com)

This angle of inclination is sufficient to reduce the CSF pressure at the basal cisterns. (medscape.com)
Case presentation We encountered an adult with basal encephalocele strongly suggesting congenital development because of the presence of minor anomalies: strabismus and ocular hypertelorism. (medscape.com)
Therefore, it may be necessary to examine minor anomalies in cases of adult basal encephalocele when considering the possibility that the disease may be congenital. (medscape.com)

Although trauma is the most common reason of rhinorrhea, it may also develop due to intracranial hypertension, idiopathic or iatrogenic reasons. (dergisi.org)
In 35 of the 36 patients affected by severe intracranial hypertension without rhinorrhea, improvement in adverse neurological symptoms was achieved after implanting a CSF shunt. (unich.it)
We report a case of severe pregnancy induced hypertension that had idiopathic intracranial hypertension in the past. (jpgo.org)
We report a case of severe preeclampsia that tested positive for antinuclear antibodies, and had idiopathic intracranial hypertension in the past. (jpgo.org)

However, the investigators found the studies to be flawed by biases, determining that no conclusion could be reached on the effectiveness of prophylactic antibiotics in cases of basilar skull fracture. (medscape.com)
CSF rhinorrhoea may be a sign of a basilar skull fracture. (wikipedia.org)
Other signs of a basilar skull fracture include CSF otorrhoea (drainage of CSF through the ear). (wikipedia.org)

This has led to the use of prophylactic antibiotics in patients with CSF rhinorrhea. (medscape.com)
Acetazolamide can be a useful adjunct in the treatment of patients with spontaneous CSF rhinorrhea associated with elevated intracranial pressure. (medscape.com)
We report our experience with the intrathecal use of Gd-DTPA for MR cisternography and ventriculography in pediatric patients referred for study and treatment of complex CSF-related diseases. (ajnr.org)
In the other 3 patients with complex CSF-related diseases, the procedure showed distinctive radiologic findings for the understanding and treatment of the disease. (ajnr.org)
After the first report of Gd-DTPA for ventriculography in 2 adult patients with meningeal carcinomatosis, 3 several other cases were reported in personal communications and different publications. (ajnr.org)
CSF cell count performed for 22 of 23 patients. (cdc.gov)
All patients recovered perfectly free of rhinorrhea and without any complications. (dergisi.org)
Vascular anomalies in patients with growth hormone-secreting pituitary adenomas: illustrative case report and systematic review of the literature. (uliege.be)
At the last follow-up, the AOFAS scores of patients were 79 to 93, with excellent in 8 cases and good in 4 cases. (bvsalud.org)
Il s'agit d'une étude rétrospective descriptive et analytique, multicentrique portant sur des patients de moins de 5ans pris en charge pour une affection neurochirurgicale de Janvier 2019 à Décembre 2021 à Libreville. (bvsalud.org)
Méthodes: Etude rétrospective, descriptive, monocentrique, colligeant les patients hospitalisés pour prise en charge d'une brèche ostéoméningée (BOM) et explorés par le couple TDM/IRM, du 1er janvier 2012 au 31 Décembre 2021. (bvsalud.org)

CSF rhinorrhoea may be caused by the growth of certain cancers (such as pituitary adenoma),[citation needed] congenital problems with bones of the skull, or inflammation that damages the bones of the skull. (wikipedia.org)
Congenital and acquired cases have been reported with regard to the developmental mechanism, and the pathology has not been elucidated in detail. (medscape.com)

Methods: We reviewed the literature and summarized current practice regarding the diagnosis and management of CSF rhinorrhea. (ochsner.org)

Treatment may be conservative (as many cases resolve spontaneously), but usually involves neurosurgery. (wikipedia.org)
Most cases of CSF rhinorrhea that begin soon after a head injury cease spontaneously within 180 days. (findmeacure.com)

Long-term use, especially when topical corticosteroids are used at high dosages or in combination with inhaled corticosteroids, presents a risk of hypothalamic-pituitary-adrenal axis suppression, cataract formation, growth retardation, nasal bleeding, and nasal septal perforation in rare cases. (medscape.com)

High-resolution computed tomography (CT) scanning is the imaging modality of choice for identifying a skull base defect associated with CSF rhinorrhea. (medscape.com)

Meningoencephaloceles are very rare occurrences in the latter category and we present the third reported case occurring in the frontal sinus. (mssm.edu)
In any case- you should really be seen and evaluated by an Ear Nose and Throat doctor- or sinus specialist (rhinologist) who deals with smell and taste problems to see what you should do next. (nyogmd.com)
In such cases, frontal sinus surgery is done to remove these infections and obstructions. (revexcare.com)

After circulating through the subarachnoid space, CSF is reabsorbed via the arachnoid villi. (medscape.com)
Rhinorrhea, which is a rare situation, is an abnormal connection between the subarachnoid and extracranial regions. (dergisi.org)

Cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea) refers to the drainage of cerebrospinal fluid through the nose (rhinorrhoea). (wikipedia.org)
Spontaneous CSF rhinorrhoea is the most common acquired defect in the skull base bones (anterior cranial fossa) causing spontaneous nasal liquorrhea. (wikipedia.org)
Beta-2 transferrin has a high positive predictive value of CSF rhinorrhoea. (wikipedia.org)

Eighty percent of CSF fistulae is caused by trauma, and this complication is seen in 2-5% of closed head trauma cases. (turkishneurosurgery.org.tr)

Tension pneumocephalus occurred in two cases during the time they were receiving treatment. (turkishneurosurgery.org.tr)

In this case the physician has to identify the complication early enough and react adequately. (egms.de)
Meningitis is the most important complication of CSF fistulae. (turkishneurosurgery.org.tr)

Cerebrospinal fluid (CSF) rhinorrhea is a rare but potentially devastating condition that can lead to significant morbidity and mortality for the patient. (medscape.com)
Beta2-transferrin assay is currently single best laboratory test for identifying the presence of CSF in sinonasal fluid. (medscape.com)
Background: Cerebrospinal fluid (CSF) rhinorrhea, when left untreated, can lead to meningitis and other serious complications. (ochsner.org)
In some cases, tubes may be inserted to keep the incision open so that fluid can continue to drain from the middle ear. (lyfboat.com)
Spontaneous cerebrospinal fluid (CSF) fistulas occur due to various reasons other than well-identified causes such as trauma, neoplasia or infection. (springeropen.com)
He was reported to have bleeding through the nose with associated Cerebrospinal Fluid (CSF) rhinorrhea instantly. (ijars.net)

Nasal congestion and rhinorrhea (runny nose) are extremely common problems that commonly occur together but occasionally occur alone. (msdmanuals.com)

In rare cases, it could turn into a severe hypersensitive reaction. (neurosurgery.directory)

Adenocarcinoma of the ethmoid : a review of 76 cases. (ent-review.com)

Continuous drainage is recommended over intermittent drainage to avoid spikes in CSF pressure. (medscape.com)

If it does not clear up, a brain infection called meningitis can occur in 25-50 per cent of the cases. (findmeacure.com)

Nevertheless, cases of fistulas occurring many years after the head injury have been reported in literature. (rjor.ro)

In matters of diagnostic importance such as evaluation of CSF rhinorrhea, pointing out location of epistaxis, etc. (revexcare.com)

Another technique, the injection of intrathecal fluorescein, has been used not only to diagnose CSF rhinorrhea but to localize the site(s) where it occurs. (medscape.com)

Anosmia and hyposmia was present in 9 and 10 cases respectively. (symptoma.com)

Disruption of the barriers between the sinonasal cavity and the anterior and middle cranial fossae is the underlying factor leading to the discharge of CSF into the nasal cavity. (medscape.com)

Episodic Ataxic Gait in a Healthy Toddler: an Exemplary Case of Recurrent Vertigo of Childhood. (stanford.edu)
pubMedId':'36549413','pubMedUrl':'https://www.ncbi.nlm.nih.gov/pubmed/36549413','publicationId':'866962','title':'Episodic ataxic gait in a healthy toddler: an exemplary case of recurrent vertigo of childhood. (stanford.edu)

Cervical and pharyngeal inflammatory pseudotumours - a report of two cases, and the clinical course and treatment. (ent-review.com)

A case-control retrospective review was undertaken at a community hospital with a dedicated neurosurgery and otolaryngology team using minimally invasive surgical techniques, total intravenous anesthesia (TIVA) and early post-operative imaging protocols. (plos.org)
[ 1 ] Each case has its own challenges and requires a careful estimation of the deformity preoperatively, a clear understanding of the techniques available for correction, a proposed plan of action and sequence, and a meticulous, uncompromising execution of the surgical technique. (medscape.com)

In this case, had the bone windows not been reviewed, the depressed skull fracture may not have been identified. (southsudanmedicaljournal.com)

A 26-year-old female patient with history of right rhinorrhea with imaging evidence of bilateral hyper-pneumatized petrous bones and a bony defect in the right petrous bone on computed tomography (CT). (springeropen.com)
A 49-year-old female patient with history of right rhinorrhea with features of hyper-pneumatization of sphenoid bone involving right greater wing of sphenoid bone and bilateral pterygoid process with a bony defect in the right greater wing of sphenoid was demonstrated on CT. (springeropen.com)

Circulation of CSF is maintained by the hydrostatic differences between its rate of production and its rate of absorption. (medscape.com)

Review of Pediatric Extraosseous Chordomas With A Unique, Illustrative Case. (ouhsc.edu)

Once the patient is ready for the treatment, the Myringotomy surgeon addresses his team members and shares the details of the case with them. (lyfboat.com)
Several methods have been used in the treatment of rhinorrhea. (dergisi.org)

Postoperative deformities are considered as main risks of rhinoplasty, causing revision surgery in 5% to 15% of the cases. (egms.de)

Anatomy7

Diseases14

Chemicals and Drugs2

Analytical, Diagnostic and Therapeutic Techniques and Equipment2

Phenomena and Processes1

Information Science1

Cerebrospinal Fluid Rhin10

Leak12

Ascending meningitis1

Leaks15

Leakage12

Traumatic6

Endoscopic4

Otorrhea3

Lumbar4

Fistula2

Cribriform plate1

Etiology2

Basal3

Intracranial hypertension4

Basilar skull fr3

Patients11

Congenital2

Diagnosis and Management1

Spontaneously2

Septal Perforation1

Base defect1

Sinus3

Subarachnoid2

Rhinorrhoea3

Head trauma1

Tension pneumocephalus1

Complication2

Fluid6

Nose1

Severe1

Ethmoid1

Drainage1

Occur1

Fistulas1

Evaluation1

Diagnose1

Anosmia1

Discharge1

Recurrent2

Clinical1

Surgical2

Depressed skull fr1

Defect2

Circulation1

Illustrative case1

Treatment2

Postoperative1