Cerebrospinal fluid rhinorrhea. Medical search. Frequent questions

Conservative treatment has been advocated in cases of immediate-onset cerebrospinal fluid (CSF) rhinorrhea following accidental trauma, given the high likelihood of spontaneous resolution of the leak. (medscape.com)
The source of the fluid leak must first be identified, usually by mri, ct or a special nu. (healthtap.com)
We report a unique case of meningitis by S treptococcus oralis in a 58-year-old patient with cerebral spinal fluid leak due to right sphenoid meningoencephalocele. (biomedcentral.com)
There was also a right sphenoidal roof defect, and meningoencephalocele with cerebrospinal fluid leak as a result. (biomedcentral.com)
Cerebrospinal fluid leak puts patients at increased risk for meningitis. (biomedcentral.com)
Our case is unique in highlighting S treptococcus oralis as the organism implicated in meningitis due to cerebrospinal fluid leak. (biomedcentral.com)
She had herniation of right temporal lobe through the sphenoidal roof defect with subsequent cerebrospinal fluid leak. (biomedcentral.com)
Cribriform plate fracture may cause a cerebrospinal fluid (CSF) leak, with increased risk of meningitis or brain abscess. (msdmanuals.com)
Cerebrospinal fluid (CSF) leak - also called rhinorrhea - can be a result of blunt head trauma . (findmeacure.com)

It can have devastating complications in some patients, as the communication between the nasal cavity, the cerebrospinal fluid and the central nervous system can result in severe bacterial infections. (wikipedia.org)
Nasal endoscopic repair of cerebrospinal fluid rhinorrhea: case series of ten patients. (pakmedinet.com)

Spontaneous cerebrospinal fluid (CSF) fistulas occur due to various reasons other than well-identified causes such as trauma, neoplasia or infection. (springeropen.com)
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)

Methods: We reviewed the literature and summarized current practice regarding the diagnosis and management of CSF rhinorrhea. (ochsner.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)
Closure of spontaneous sphenoid sinus cerebrospinal fluid leaks can be challenging because of the relative inaccessibility of the lateral recess and the presence of intracranial hypertension. (nih.gov)
Eleven patients with spontaneous, laboratory confirmed, sphenoid sinus cerebrospinal fluid leaks were included. (nih.gov)
Cerebrospinal fluid leaks place patients at increased risk for meningitis. (biomedcentral.com)
The most common organism implicated in meningitis from cerebrospinal fluid leaks is Streptococcus pneumoniae [ 7 ]. (biomedcentral.com)

Background: Cerebrospinal fluid (CSF) rhinorrhea, when left untreated, can lead to meningitis and other serious complications. (ochsner.org)

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)
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)

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)
Rapid method for beta2-transferrin in cerebrospinal fluid leakage using an automated immunofixation electrophoresis system. (musc.edu)
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)

On MR imaging of the sella, an enlarged empty sella turcica filled with cerebrospinal fluid was seen. (ajronline.org)

Long-lasting cerebrospinal fluid fistula sealing in the sphenoid sinus requires stable reconstruction of the defect in three layers or fat obliteration if the anatomy is unfavourable. (nih.gov)

It may be diagnosed using brain scans (prompted based on initial symptoms), and by testing to see if discharge from the nose is cerebrospinal fluid. (wikipedia.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)
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)
VALUE RFVF 10050 ='Chills' 10100 ='Fever' 10120 ='Other symptoms of body temperature' 10121 ='Feeling cold' 10122 ='Feeling hot' 10123 ='Feeling hot and cold' 10150 ='Tiredness, exhaustion' 10200 ='General weakness' 10250 ='General ill feeling' 10300 ='Fainting (syncope)' 10350 ='Symptoms of fluid abnormalities' 10351 ='Edema' 10352 ='Excessive sweating, perspiration' 10353 ='Excessive thirst' 10400 ='Weight gain' 10450 ='Weight loss' 10451 ='Recent weight loss' 10452 ='Underweight' 10460 ='Symptoms of face, not elsewhere class. (cdc.gov)
The patients also reported general and have T1 (hypo) and T2 (hyper) signals that are similar otolaryngologic symptoms, including anorexia, ar- than those of the cerebrospinal fluid ( 5 ). (cdc.gov)

2] Rarely, CSF rhinorrhea or otorrhea without any cause may occur in IIH/ PTCS. (jpgo.org)

Cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea) refers to the drainage of cerebrospinal fluid through the nose (rhinorrhoea). (wikipedia.org)
Discharge of cerebrospinal fluid through the nose. (bvsalud.org)
This may be caused by cerebrospinal fluid (CSF) draining from the brain into the nose (CSF rhinorrhea). (alberta.ca)

Acetazolamide can be a useful adjunct in the treatment of patients with spontaneous CSF rhinorrhea associated with elevated intracranial pressure. (medscape.com)

Cerebrospinal fluid (CSF) rhinorrhea appears as clear drainage but may be mixed with blood, making it difficult to identify. (msdmanuals.com)

This has led to the use of prophylactic antibiotics in patients with CSF rhinorrhea. (medscape.com)
All patients underwent an ICP and cerebrospinal fluid (CSF) dynamics evaluation through the use of a lumbar constant-rate infusion test. (unich.it)
Cerebrospinal fluid rhinorrhea in patients with untreated pituitary adenoma: report of two cases. (unisa.it)
Of the five eyes in which the MH had failed to close after primary fovea-sparing surgery, two received a gas fluid exchange gas tamponade with 15% С3F8, and these patients were advised to maintain a face down position for 3 more weeks. (dntb.gov.ua)
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)

Diagnosis of Cerebrospinal Fluid Rhinorrhea: Lack of Specificity of the Glucose Oxidase Test Tape. (stanford.edu)
Bedside glucose test strips do not accurately identify cerebrospinal fluid rhinorrhea and are not recommended. (msdmanuals.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)

Finally, a doctor said the cerebrospinal fluid is leaking out from a crack in the skull bones and that I need surgery. (findmeacure.com)

Safe anesthesia practices combined with modern monitoring techniques using multi parameter monitors, transesophageal echocardiography (TEE), cardiac output monitoring, I.V. fluid therapy monitoring, arterial blood gas analysis etc have made heart procedures and surgeries very safe. (spshospitals.com)

Most cases of CSF rhinorrhea that begin soon after a head injury cease spontaneously within 180 days. (findmeacure.com)

Chronic cerebrospinal fluid rhinorrhea as an initial presentation of chordoma: illustrative case. (ouhsc.edu)

Cerebrospinal fluid rhinorrhea is more common than generally thought. (unich.it)

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)

9. Management of intra-operative cerebrospinal fluid leak following endoscopic trans-sphenoidal pituitary surgery. (nih.gov)
Cribriform plate fracture may cause a cerebrospinal fluid (CSF) leak, with increased risk of meningitis or brain abscess. (msdmanuals.com)
Risk factors associated with postoperative cerebrospinal fluid leak after endoscopic endonasal skull base surgery. (lenus.ie)
The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly. (lenus.ie)
Background Cerebrospinal fluid (CSF) leak from the sphenoid sinus lateral recess (SSLR) is very rare. (ruralneuropractice.com)
More commonly or at least something I've seen in my practice, when people hold their sneeze in they actually can break the bone between their nose and their brain and they can get a brain fluid leak out of their nose because of the same reason, it's just that pressure that you build up. (thegrandparadise.com)
However, if one experiences runny nose that looks like a leaky faucet or drip out of only one side, this may represent a potentially more serious type of problem - a cerebrospinal fluid (CSF) leak . (sinushealth.com)
If an obvious breach is noted, especially if fluid is seen in the adjacent sinuses, then a CSF leak is extremely likely. (thetraumapro.com)

20. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea: a meta-analysis. (nih.gov)
Functional endoscopic sinus surgery, extended endoscopic sinus surgery, endoscopic skull base surgery, endoscopic dacryocystorhinostomy (DCR), endoscopic repair of cerebrospinal fluid rhinorrhea, septoplasty, arterial ligations for epistaxis, surgery for tumours of the nose and PNS, and coablator assisted turbinate procedures. (trustinhospital.com)

This test is useful in the differential diagnosis for CSF otorrhea or CSF rhinorrhea. (blallab.com)

Cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea) refers to the drainage of cerebrospinal fluid through the nose (rhinorrhoea). (wikipedia.org)
6. Surgical decisions in the management of cerebrospinal fluid rhinorrhoea. (nih.gov)
Endoscopic surgery treatment for sinus diseases including sinusitis, nasal polyposis, nasal bleeding and benign and malignant tumours, endoscopic cerebrospinal fluid rhinorrhoea repair, frontal and trans-nasal transsphenoidal surgery for various skull base tumours. (trustinhospital.com)

The anterior limit is periorbita and sphenoid bone, defined by the extent of clinoidectomy, which may incorporate air cells in communication with the paranasal sinuses and predisposes the patient to postoperative cerebrospinal fluid rhinorrhea. (surgicalneurologyint.com)

11. Subcranial transnasal repair of cerebrospinal fluid rhinorrhea with free autologous grafts by the combined overlay and underlay techniques. (nih.gov)

Despite technical advances in the diagnosis and management of CSF rhinorrhea caused by craniofacial injury through the introduction of MRI and endoscopic extracranial surgical approaches, difficulties remain. (medscape.com)
The authors review here the pathophysiology, diagnosis, and management of CSF rhinorrhea relevant exclusively to traumatic anterior skull base injuries and attempt to identify areas in which further work is needed. (medscape.com)
Cerebrospinal fluid rhinorrhea is a serious and potentially fatal condition that still presents a major challenge in terms of its diagnosis and management. (medscape.com)

18. Prevention of cerebrospinal fluid rhinorrhea after transsphenoidal surgery by collagen fleece coated with fibrin sealant without autologous tissue graft or postoperative lumbar drainage. (nih.gov)

4. Cerebrospinal fluid rhinorrhea following trans-sphenoidal pituitary macroadenoma surgery: experience from 592 patients. (nih.gov)
19. Endoscopic endonasal surgery for recurrent cerebrospinal fluid rhinorrhea. (nih.gov)
In one case study, cerebrospinal fluid rhinorrhea and sinus pain persisted despite no initial complications post surgery. (medscape.com)
Head trauma, surgery, or even birth defects can make a hole in the membranes that hold this fluid. (thegrandparadise.com)

CSF Rhinorrhea After Endonasal Intervention to the Skull Base (CRANIAL) - Part 2: Impact of COVID-19. (lenus.ie)

Cerebrospinal fluid rhinorrhea is a serious and potentially fatal condition because of an increased risk of meningitis and brain abscess. (medscape.com)
Meningitis or cerebrospinal fluid rhinorrhea can occur years or even decades after trauma and can be the first indication of a previously unidentified dural lesion. (thieme-connect.com)

13. Liu P, Wu S, Li Z, Wang B. Surgical strategy for cerebrospinal fluid rhinorrhea repair. (bvsalud.org)
Overall 5-year survival is approximately 50%, and treatment consists of en bloc surgical resection followed by high-dose conformal radiation therapy (RT) such as proton beam radiation. (medscape.com)
Surgical en bloc resection with negative margins is the only curative treatment for chordoma. (medscape.com)

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

Approximately 80% of all cases of CSF rhinorrhea are caused by head injuries that are associated with cranial fractures. (medscape.com)

The dura is then incised parallel to the sphenoid wing lateral to the SOF, and the need for further bony removal, including clinoidectomy, is assessed after gentle elevation of the frontal lobe and release of cerebrospinal fluid through opening the optico-carotid cisterns and inspection of the pathology in relation to the clinoid. (surgicalneurologyint.com)

Iatrogenic trauma remains the most common cause of CSF rhinorrhea. (elsevierpure.com)

It can often be provoked by increasing pressure to the head to push the fluid out, such as straining, heavy lifting, bearing down, or strenuous activities. (sinushealth.com)

This is currently single best laboratory test for identifying the presence of CSF in sinonasal fluid. (medscape.com)

New diagnostic methods (such as latex agglutination and polymerase chain reaction) supplement rather than supplant cerebrospinal fluid studies. (antiinfectivemeds.com)

CSF is clear, thin fluid that is made within the brain cavity, and it supports and provides nutrients to the brain. (sinushealth.com)

Multivariate logistic regression was utilized to determine the odds ratio of developing panhypopituitarism, DI, CSF rhinorrhea, and CN palsies for image-guided versus nonimage-guided cases. (thieme-connect.de)

It includes any mass such as, abscess, primary or metastatic tumors, hematoma, cerebral edema, communicating or obstructive hydrocephalus, idiopathic intracranial hypertension (IIH), dural venous sinus thrombosis, and entities that result in increased cerebrospinal fluid (CSF) production. (usask.ca)

In some circumstances, an air-fluid level is present in one or more of the sinuses. (medscape.com)

There was no history of cough, rhinorrhea, or dysphagia. (contemporarypediatrics.com)

Charles Miller described cerebrospinal fluid (CSF) rhinorrhea first in the year 1826. (ruralneuropractice.com)

The cerebrospinal fluid profile was normal. (contemporarypediatrics.com)

Isolation of an anaerobic organism from the cerebrospinal fluid is rare and strongly suggests intraventricular leakage of a brain abscess or the presence of a parameningeal focus of infection. (antiinfectivemeds.com)
Detection of a beta-2 transferrin is diagnostic for the presence of cerebrospinal fluid (CSF). (blallab.com)

Hydrocephalus is defined as an expansion of the ventricular system on the basis of an increase in the volume of cerebrospinal fluid contained within it. (usask.ca)

Anatomy3

Diseases4

Information Science1

Leak9

Nasal2

Spontaneous cerebrospinal4

Diagnosis and Management1

Leaks5

Meningitis1

Traumatic3

Leakage3

Empty sella1

Fistula1

Symptoms5

Otorrhea1

Nose3

Intracranial pressure1

Drainage1

Patients6

Glucose2

Sphenoid1

Skull1

Therapy1

Spontaneously1

Case1

Common1

Patient1

Leak8

Endoscopic repair of cerebrospinal fluid rhin2

Otorrhea1

Rhinorrhoea3

Postoperative cerebrospinal1

Transnasal repair1

Diagnosis and management3

Transsphenoidal surgery1

Surgery4

Endonasal1

Meningitis2

Surgical3

Skull base1

Fractures1

Frontal1

Trauma remains1

Head1

Laboratory1

Studies1

Clear1

Cases1

Result1

Present1

History1

Year1

Profile1

Presence2

Basis1