Cerebrospinal Fluid Otorrhea
Discharge of cerebrospinal fluid through the external auditory meatus or through the eustachian tube into the nasopharynx. This is usually associated with CRANIOCEREBRAL TRAUMA (e.g., SKULL FRACTURE involving the TEMPORAL BONE;), NEUROSURGICAL PROCEDURES; or other conditions, but may rarely occur spontaneously. (From Am J Otol 1995 Nov;16(6):765-71)
Spontaneous CSF otorrhea caused by abnormal development of the facial nerve canal. (1/30)
In two patients with surgically proved CSF fistula through the facial nerve canal, MR and CT examinations showed smooth enlargement of the geniculate fossa with CSF signal. In the clinical setting of CSF otorrhea or rhinorrhea, the presence of an enlarged labyrinthine facial nerve canal and enlarged geniculate fossa on CT scans and CSF intensity on MR images strongly suggests a CSF fistula through the facial nerve canal. (+info)Evaluation of CSF leaks: high-resolution CT compared with contrast-enhanced CT and radionuclide cisternography. (2/30)
BACKGROUND AND PURPOSE: Radiologic evaluation of CSF leaks is a diagnostic challenge that often involves multiple imaging studies with the associated expense and patient discomfort. We evaluated the use of screening noncontrast high-resolution CT in identifying the presence and site of CSF rhinorrhea and otorrhea and compared it with contrast-enhanced CT cisternography and radionuclide cisternography. METHODS: We retrospectively reviewed the imaging studies and medical records of all patients who were evaluated for CSF leak during a 7-year period. Forty-two patients with rhinorrhea and/or otorrhea underwent high-resolution CT of the face or temporal bone and then had CT cisternography and radionuclide cisternography via lumbar puncture. The results of the three studies were compared and correlated with the surgical findings in 21 patients. RESULTS: High-resolution CT showed bone defects in 30 of 42 patients (71%) with CSF leak. High-resolution, radionuclide cisternography and CT cisternography did not show bone defects or CSF leak for 12 patients (29%) who had clinical evidence of CSF leak. Among the 30 patients with bone defects, 20 (66%) had positive results of their radionuclide cisternography and/or CT cisternography. For the 21 patients who underwent surgical exploration and repair, intraoperative findings correlated with the defects revealed by high-resolution CT in all cases. High-resolution CT identified significantly more patients with CSF leak than did radionuclide cisternography and CT cisternography, with a moderate degree of agreement. CONCLUSION: Noncontrast high-resolution CT showed a defect in 70% of the patients with CSF leak. No radionuclide cisternography or CT cisternography study produced positive results without previous visualization of a defect on high-resolution CT. CT cisternography and radionuclide cisternography may be reserved for patients in whom initial high-resolution CT does not identify a bone defect or for patients with multiple fractures or postoperative defects. (+info)Prevention of cerebrospinal fluid leakage and delayed loss of preserved hearing after vestibular schwannoma removal: reconstruction of the internal auditory canal in the suboccipital transmeatal approach--technical note. (3/30)
The suboccipital transmeatal approach uses packing of a muscle or fat graft into the internal auditory canal (IAC) to prevent postoperative cerebrospinal fluid (CSF) leakage. However, preserved hearing after removal of vestibular schwannomas may decline over time because of the progressive constriction of cochlear vascular supply due to scarring of the IAC. We propose a surgical technique for IAC reconstruction, which separates the preserved cochlear nerve and vasculature from the graft, and regains the CSF space in the IAC. Prior to the drilling of the posterior wall of the IAC, the dura mater of the petrous bone forming the posterior wall of the IAC is harvested for IAC reconstruction. After completion of tumor removal, a "roof" of the IAC is reconstructed using the dura mater, and a muscle or fat graft soaked with fibrin glue is placed on the "roof" of the IAC. The IAC was reconstructed using this technique in 26 consecutive patients with vestibular schwannomas who underwent tumor removal via the suboccipital transmeatal approach. Postoperative magnetic resonance imaging confirmed the regained CSF space in the IAC. No delayed hearing loss occurred in four patients with preserved hearing. No CSF leakage occurred after surgery. This new technique of IAC reconstruction may prevent delayed hearing loss as well as postoperative CSF leakage after removal of vestibular schwannomas via the suboccipital transmeatal approach. (+info)Characterization of chemical meningitis after neurological surgery. (4/30)
We reviewed the records of 70 consecutive adult patients with meningitis after a neurosurgical procedure, to determine the characteristics that might help to distinguish a sterile postoperative chemical meningitis from bacterial infection. The spinal fluid profiles in bacterial and chemical meningitis are similar. The exceptions are that a spinal fluid white blood cell count > 7500/microL (7500 x 10(6)/L) and a glucose level of < 10 mg/dL were not found in any case of chemical meningitis. The clinical setting and clinical manifestations were distinct enough that no antibiotic was administered after lumbar puncture to 30 (43%) of the 70 patients with postoperative meningitis. Chemical meningitis was infrequent after surgery involving the spine and sinuses. Patients with chemical meningitis did not have purulent wound drainage or significant wound erythema or tenderness, coma, new focal neurological findings, or onset of a new seizure disorder. They rarely had temperatures > 39.4 degrees C or cerebrospinal fluid rhinorrhea or otorrhea. (+info)A new nephelometric assay for beta-trace protein (prostaglandin D synthase) as an indicator of liquorrhoea. (5/30)
OBJECTIVES: To determine the sensitivity and specificity of a nephelometric beta-trace protein assay for the diagnosis of liquorrhoea. METHODS: One hundred and forty clinical samples with suspected liquorrhoea were analysed by a newly developed nephelometric assay. An established electroimmunoassay served as a reference method. The sensitivity and specificity of the beta-trace nephelometric assay were calculated by a 2x2 contingency table for 10 different versions of a dichotomised nephelometric variable. In 52 patients (79 samples), the nephelometric findings were validated by referring to the clinical diagnosis based on the course of the disease, imaging techniques, and surgical inspection. RESULTS: Given a specificity of 100%, a beta-trace protein concentration of 6 mg/l or higher in a sample indicated liquorrhoea with a sensitivity of 92% compared with the reference method and of 93% compared with the clinical evaluation. The relation between the electroimmunoassay and the nephelometric assay was highly significant (p<0.001). CONCLUSIONS: The nephelometric beta-trace protein assay is a simple and rapid method for the detection of liquorrhoea with high sensitivity and specificity and may facilitate the diagnosis of fistulas leaking CSF. (+info)Prognostic significance of changes in the internal acoustic meatus caused by vestibular schwannoma. (6/30)
The prognostic significance of the variety of changes in the internal auditory meatus (IAM) caused by vestibular schwannoma was retrospectively analyzed in 69 consecutive patients with vestibular schwannoma. Preoperative bone-window computed tomography was used to classify IAM changes into extensive destruction (17%), widening (46%), and normal IAM (36%). Extensive destruction (47 +/- 19 years) and widening (48 +/- 13) occurred in significantly younger patients than normal IAM (59 +/- 9). Preoperative hearing was significantly more severely disturbed in patients with extensive destruction than in those with widening or normal IAM. IAM change was significantly related to the tumor consistency, as normal IAM was more common in patients with cystic tumor than in those with solid tumor. Postoperative hearing and facial function were worse in patients with severe IAM change, although the relationship between the IAM change and the surgical result was not significant. One patient with extensive destruction developed postoperative cerebrospinal fluid (CSF) leakage through the air cells around the IAM, and needed surgical repair. Severe IAM change occurs with solid tumor and causes severely disturbed preoperative hearing in younger patients, which reflects the tumor aggressiveness. Severe IAM change increases the technical difficulty of tumor removal and the risk of postoperative CSF leakage, and is associated with a poorer prognosis for patients with vestibular schwannoma. (+info)Benefits of swimming pools in two remote Aboriginal communities in Western Australia: intervention study. (7/30)
OBJECTIVE: To determine the health impact of swimming pools built with the aim of improving quality of life and reducing high rates of pyoderma and otitis media. DESIGN: Intervention study assessing prevalence of ear disease and skin infections before and at six monthly intervals after opening of swimming pools. SETTING: Two remote Aboriginal communities in Western Australia. PARTICIPANTS: 84 boys and 78 girls aged < 17 years. MAIN OUTCOME MEASURES: Changes in prevalence and severity of pyoderma and perforation of tympanic membranes with or without otorrhoea over 18 months after opening of pools. RESULTS: In community A, 61 children were seen before the pool was opened, and 41, 46, and 33 children were seen at the second, third, and fourth surveys. Equivalent figures for community B were 60, 35, 39, and 45. Prevalence of pyoderma declined significantly from 62% to 18% in community A and from 70% to 20% in community B during the 18 months after the pools opened. Over the same period, prevalence of severe pyoderma fell from 30% to 15% in community A and from 48% to 0% in community B. Prevalence of perforations of the tympanic membrane fell from 32% in both communities to 13% in community A and 18% in community B. School attendance improved in community A. CONCLUSION: Swimming pools in remote communities were associated with reduction in prevalence of pyoderma and tympanic membrane perforations, which could result in long term benefits through reduction in chronic disease burden and improved educational and social outcomes. (+info)Subjective evaluation and overall satisfaction after tympanoplasty for chronic simple suppurative otitis media. (8/30)
A questionnaire survey was conducted in 324 patients with chronic, simple, suppurative otitis media who had undergone tympanoplasty 6 months or more previously to investigate post-operative hearing, tinnitus, vertigo, occlusive feeling of the ear and otorrhea. In addition, the overall satisfaction with tympanoplasty was assessed by VAS value. Subjective hearing improvement was observed in 73.1% of the patients whose hearing was poor and in 50% of those whose hearing was good before the operation. The degree of satisfaction assessed by VAS value corresponded with the subjective hearing assessment. As to tinnitus, 66.2% of the patients became aware of the disappearance or alleviation of symptoms. In the case of patients who had tinnitus before the operation, the degree of awareness of tinnitus and the degree of satisfaction assessed by VAS value coincided. However, no changes in the VAS value were observed in those who did not have tinnitus before the operation. As for vertigo, 30.5% of the patients who had vertigo preoperatively became aware of the disappearance of the symptoms after the operation. The degree of satisfaction assessed by VAS value corresponded with the presence or absence, severity and frequency of vertigo. As to the fullness of the ear, alleviation of the symptoms was subjectively noted by 85.9% of the patients who had symptoms before the operation. The degree of satisfaction assessed by VAS value corresponded with the severity of the symptoms in those who had symptoms before the operation. As for otorrhea, the disappearance of the symptoms was subjectively noted by 85.5% of the patients who had otorrhea before the operation. The degree of satisfaction assessed by VAS value corresponded with the post-operative changes in otorrhea. Based on the above results, it was assumed that the patients placed greatest expectation on hearing improvement when they underwent tympanoplasty. VAS is considered a useful method to evaluate the degree of satisfaction of patients after surgery. (+info)Cerebrospinal Fluid Otorrhea is the abnormal leakage of cerebrospinal fluid through the eustachian tube into the middle ear, leading to symptoms such as hearing loss, ear pain, and vertigo.
Cerebrospinal fluid (CSF) otorrhea is a medical condition in which cerebrospinal fluid leaks into the ear canal. This can occur due to a variety of factors, including head injury, surgery on the skull or spine, or a congenital defect in the skull or spine. Symptoms of CSF otorrhea may include a sensation of fullness or pressure in the ear, hearing loss, and a discharge from the ear that may be clear or yellowish in color. Treatment for CSF otorrhea typically involves identifying and repairing the source of the leak, as well as managing any associated symptoms. In some cases, surgery may be necessary to repair the leak and prevent further complications.
Skull fracture
... cerebrospinal fluid rhinorrhea (CSF leaking from the nose) or from the ears (cerebrospinal fluid otorrhea); periorbital ... and brain cerebrospinal fluid (CSF) pulsations in the underlying leptomeningeal cystic mass. A cranial burst skull fracture, ... a craniocerebral erosion or leptomeningeal cyst due to the usual development of a cystic mass filled with cerebrospinal fluid ...
Beta-2 transferrin
... thus making it a specific marker of cerebrospinal fluid, applied as an assay in cases where cerebrospinal fluid leakage is ... Thus, beta-2 transferrin in otorrhea would be suggestive of either a CSF leak or a perilymph leak. Chan D, Poon W, IP C, Chiu P ... "How useful is glucose detection in diagnosing cerebrospinal fluid leak? The rational use of CT and Beta-2 transferrin assay in ... which is almost exclusively found in the cerebrospinal fluid. It is not found in blood, mucus or tears, ...
Cerebrospinal fluid rhinorrhoea
Other signs of a basilar skull fracture include CSF otorrhoea (drainage of CSF through the ear). It can have devastating ... Cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea) refers to the drainage of cerebrospinal fluid through the nose (rhinorrhoea ... CSF rhinorrhoea involves drainage of cerebrospinal fluid through the nose. This appears as a clear, colourless liquid. Aldroubi ... CSF Rhinorrhea at eMedicine Kerr, Julie T.; Chu, Felix W.K.; Bayles, Stephen W. (2005). "Cerebrospinal Fluid Rhinorrhea: ...
Magnetic resonance myelography
Demonstration of the site of a cerebrospinal fluid leak (postlumbar puncture headache, postspinal surgery headache, rhinorrhea ... or otorrhea) Surgical planning, especially in regard to the nerve roots. Radiation therapy planning. Diagnostic evaluation of ...
Head injury
... and cerebrospinal fluid rhinorrhea and otorrhea. Because brain injuries can be life-threatening, even people with apparently ... Symptoms of skull fracture can include: leaking cerebrospinal fluid (a clear fluid drainage from nose, mouth or ear) is ... This can include sedation, paralytics, cerebrospinal fluid diversion. Second-line alternatives include decompressive ... CT scans can show brain bleeds, fractures of the skull, fluid build up in the brain that will lead to increased cranial ...
Cerebrospinal fluid leak
Fluid dripping from the nose (CSF rhinorrhoea) or ears (CSF otorrhea) should be collected and tested for the protein beta-2 ... A cerebrospinal fluid leak (CSF leak or CSFL) is a medical condition where the cerebrospinal fluid (CSF) surrounding the brain ... "Cerebrospinal Fluid (CSF) Leak: Symptoms & Treatment". "Cerebrospinal Fluid Leak (CSF Leak) FAQ". Mokri, B (2001). "Spontaneous ... Mokri, B. (1999). "Spontaneous cerebrospinal fluid leaks: from intracranial hypotension to cerebrospinal fluid hypovolemia-- ...
List of MeSH codes (C23)
... cerebrospinal fluid otorrhea MeSH C23.888.592.264 - cerebrospinal fluid rhinorrhea MeSH C23.888.592.298 - decerebrate state ...
Otitis media
Trauma, such as a basilar skull fracture, can also lead to cerebrospinal fluid otorrhea (discharge of CSF from the ear) due to ... There may be enough pus that it drains to the outside of the ear (otorrhea), or the pus may be minimal enough to be seen only ... Acute otitis media in children with moderate to severe bulging of the tympanic membrane or new onset of otorrhea (drainage) is ... A common complication of having a tympanostomy tube is otorrhea, which is a discharge from the ear. The risk of persistent ...
List of MeSH codes (C10)
... cerebrospinal fluid otorrhea MeSH C10.900.300.153 - cerebrospinal fluid rhinorrhea MeSH C10.900.300.175 - coma, post-head ...
Bony labyrinth
... sensorineural deafness and cerebrospinal fluid otorrhea. On radiographic images, the otic capsule is the densest portion of the ... They contain a clear fluid, the perilymph, in which the membranous labyrinth is situated. A fracture classification system in ...
Temporal bone
... and cerebrospinal fluid otorrhea. In many animals some of these parts stay separate through life: Squamosal: the squama ...
List of MeSH codes (C21)
... cerebrospinal fluid otorrhea MeSH C21.866.260.207 - cerebrospinal fluid rhinorrhea MeSH C21.866.260.222 - coma, post-head ... cerebrospinal fluid otorrhea MeSH C21.866.915.300.300 - cerebrospinal fluid rhinorrhea MeSH C21.866.915.300.350 - coma, post- ...
Mastoidectomy: Overview, Preparation, Technique
Kveton JF, Goravalingappa R. Elimination of temporal bone cerebrospinal fluid otorrhea using hydroxyapatite. Laryngoscope. 2000 ... A cerebrospinal fluid leak involving the middle fossa plate typically abates if the dura is closed primarily or is covered with ... A cerebrospinal fluid leak often necessitates admission, elevation of the head of the bed, and, in refractory cases, placement ... A suspected dural injury from drilling or a microinstrument should be carefully inspected even if a cerebrospinal fluid leak is ...
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Overview of Coma and Impaired Consciousness - Neurologic Disorders - MSD Manual Professional Edition
... and cerebrospinal fluid (CSF) rhinorrhea and otorrhea. Scalp contusions and small bullet holes can be missed unless the head is ... Removal of cerebrospinal fluid (CSF): CSF can be slowly removed through a shunt inserted into the ventricles to help lower ... Hydration: Isotonic fluids are used. Providing free water through IV fluids (eg, 5% dextrose, 0.45% saline) can aggravate ... If patients have no signs of dehydration or fluid overload, IV fluids with normal saline can be started at 50 to 75 mL/hour. ...
Pesquisa | Portal Regional da BVS
Cerebrospinal Fluid Otorrhea After a Routine Tympanostomy Tube Placement: A Review of the Literature on Hyrtl Fissure. ... Cerebrospinal fluid otorrhea was the most common presentation. Six were discovered after tympanostomy tube placements while 3 ... and contribute our experience with a 2-year old who developed cerebrospinal fluid (CSF) otorrhea during routine tympanostomy ... Hyrtl fissure should be included in the differential diagnosis when there is persistent clear otorrhea after a tympanostomy ...
Post-13-Valent Pneumococcal Conjugate Vaccine Dynamics in Young Children of Serotypes Included in Candidate Extended-Spectrum...
This nationwide study was conducted in all 27 medical centers routinely obtaining cerebrospinal fluid (CSF) and blood cultures ... spontaneous otorrhea. Most of the children had complex OM (nonresponsive, recurrent, spontaneous perforation, or chronic ear ... Otitis Media and Middle Ear Fluid Cultures. Specimen swabs were sent in transport medium. They were processed in a similar ... 24 months of age who were residents of the Negev region and had OM judged to necessitate middle ear fluid (MEF) culture. ...
Lightning Injuries Treatment & Management: Approach Considerations, Prehospital Care, Pharmacologic Therapy
Otic drops can be used unless the patient has cerebrospinal fluid otorrhea. ... Fluid loading and alkalinization of the urine is not warranted in the vast majority of cases. ... Most lightning patients do not require aggressive fluid resuscitation, alkalinization of the urine, or transfer to burn units. ...
Cerebrospinal Fluid Analysis: Reference Range, Interpretation, Collection and Panels
The reference range for cerebrospinal fluid analysis is as follows: Opening pressure - 90-180 mm H2 O (with patient lying in ... These electrophoretic properties of transferrin isoforms have diagnostic application in rhinorrhea or otorrhea (leakage of CSF ... encoded search term (Cerebrospinal Fluid Analysis) and Cerebrospinal Fluid Analysis What to Read Next on Medscape ... Cerebrospinal fluid (CSF) represents the fluid that is produced in the choroid plexuses of the ventricles of the brain. The CSF ...
MESH TREE NUMBER CHANGES - 2015 MeSH
MESH TREE NUMBER CHANGES - 2015 MeSH
MESH TREE NUMBER CHANGES - 2015 MeSH
Surgical Management of Meningoencephaloceles and CSF Leaks
Middle Ear Endoscopy: History, Indications, Surgical Technique
Treatment of cerebrospinal fluid otorrhea. Cerebrospinal fluid (CSF) rhinorrhea results from an unwanted connection between the ... The fluid travels through the air cells of the temporal bone to the ear, through the eustachian tube to the nasal cavity. This ... Additionally, this technique avoids welling of local anesthetic or fluid within the round and oval window niches. The use of ... middle ear is that of bony conduction of sound via transference of sound waves in the air collected by the auricle to the fluid ...
Surgical Management of Meningoencephaloceles and CSF Leaks
Biomarkers Search
Porencephalic cyst: a review of the literature and management of a rare cause of cerebrospinal fluid otorrhea.. Ryzenman JM; ... 2. Management of spontaneous cerebrospinal fluid otorrhea.. Kutz JW; Husain IA; Isaacson B; Roland PS. Laryngoscope; 2008 Dec; ... 7. Diagnosis and management of spontaneous cerebrospinal fluid-middle ear effusion and otorrhea.. Brown NE; Grundfast KM; Jabre ... Diagnosis and management of spontaneous cerebrospinal fluid otorrhea.. Rao AK; Merenda DM; Wetmore SJ. Otol Neurotol; 2005 Nov ...
Timing of antiretroviral therapy after diagnosis of cryptococcal meningitis - PubMed
... especially among patients with a paucity of white cells in cerebrospinal fluid. (Funded by the National Institute of Allergy … ... Cerebrospinal Fluid Otorrhea / immunology Actions. * Search in PubMed * Search in MeSH * Add to Search ... Sterile Cerebrospinal Fluid Culture at Cryptococcal Meningitis Diagnosis Is Associated with High Mortality. Skipper CP, ... Among patients with few white cells in their cerebrospinal fluid (,5 per cubic millimeter) at randomization, mortality was ...
Otorrhea - Ear, Nose, and Throat Disorders - MSD Manual Professional Edition
Otorrhea - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical Professional ... If cerebrospinal fluid (CSF) leakage is in question, discharge can be tested for glucose or beta-2 transferrin; these ... Evaluation of Otorrhea History History of present illness in patients with ear discharge should cover duration of symptoms and ... Head trauma sufficient to cause a cerebrospinal fluid (CSF) leak is readily apparent. ...
MeSH Browser
Cerebrospinal Fluid Otorrhea, Post-Traumatic Cerebrospinal Fluid Otorrhea, Spontaneous Cerebrospinal Fluid Otorrhea, Traumatic ... Otorrhea, Spontaneous, Cerebrospinal Fluid Otorrhea, Traumatic Cerebrospinal Fluid Post-Traumatic Cerebrospinal Fluid Otorrhea ... Spontaneous Otorrhea, Cerebrospinal Fluid Traumatic Cerebrospinal Fluid Otorrhea Traumatic Otorrhea, Cerebrospinal Fluid Public ... Cerebrospinal Otorrhea Otorrhea, Cerebrospinal Fluid, Post-Traumatic Otorrhea, Cerebrospinal Fluid, Spontaneous Otorrhea, ...
MeSH Browser
Cerebrospinal Fluid Otorrhea, Post-Traumatic Cerebrospinal Fluid Otorrhea, Spontaneous Cerebrospinal Fluid Otorrhea, Traumatic ... Otorrhea, Spontaneous, Cerebrospinal Fluid Otorrhea, Traumatic Cerebrospinal Fluid Post-Traumatic Cerebrospinal Fluid Otorrhea ... Spontaneous Otorrhea, Cerebrospinal Fluid Traumatic Cerebrospinal Fluid Otorrhea Traumatic Otorrhea, Cerebrospinal Fluid Public ... Cerebrospinal Otorrhea Otorrhea, Cerebrospinal Fluid, Post-Traumatic Otorrhea, Cerebrospinal Fluid, Spontaneous Otorrhea, ...
Code System Concept
Cerebrospinal Fluid Analysis: Reference Range, Interpretation, Collection and Panels
The reference range for cerebrospinal fluid analysis is as follows: Opening pressure - 90-180 mm H2 O (with patient lying in ... These electrophoretic properties of transferrin isoforms have diagnostic application in rhinorrhea or otorrhea (leakage of CSF ... encoded search term (Cerebrospinal Fluid Analysis) and Cerebrospinal Fluid Analysis What to Read Next on Medscape ... Cerebrospinal fluid (CSF) represents the fluid that is produced in the choroid plexuses of the ventricles of the brain. The CSF ...
SCTID SNOMED CT Fully Specified Name
68382005 Cerebrospinal fluid otorrhea (disorder) 68368005 Calculus of common bile duct with chronic cholecystitis (disorder) ... 230744007 Cerebrospinal fluid leak (disorder) 230739000 Spinal cord stroke (disorder) 2312009 Reactive attachment disorder of ... 85638002 Cerebrospinal fluid rhinorrhea (disorder) 85791004 Ecthyma (disorder) 8563000 Cholinergic crisis (disorder) 85598007 ... 42170009 Abnormal amniotic fluid (disorder) 42162004 Congenital varus deformity of foot (disorder) 42157000 Closed fracture of ...
EUROPEAN REVIEW OF ENT : CONTENTS
Head Trauma Treatment & Management: Medical Therapy, Complications, Outcome and Prognosis
Cerebrospinal fluid fistulae. Cerebrospinal fistulae, either in the form of rhinorrhea or otorrhea, may occur in as many as 5- ... Once appropriate fluid resuscitation has been completed and the volume status is determined to be normal, intravenous fluids ... Relationship of serum and cerebrospinal fluid biomarkers with intracranial hypertension and cerebral hypoperfusion after severe ... Mannitol can cause as much as 1500 cc of fluid to diurese in the space of 2 hours, as intravascular fluid depletion occurs, ...
SAS VALUE LABELS FOR 1992 NHAMCS EMERGENCY DEPARTMENT PUBLIC USE FILE
Otorrhea, unspecified 138861=Cerebrospinal fluid otorrhea 138869=Other otorrhea 138870=Otalgia, unspecified 138871= ... Abnormal findings in cerebrospinal fluid 179210=Abnormal findings in stool contents 179220=Abnormal findings in semen ... Cerebrospinal fluid rhinorrhea 134982=Toxic encephalopathy 134989=Other specified disorders of nervous system 134990= ... Amniotic fluid embolism, unspec episode/not applicable 167311=Amniotic fluid embolism, delivered w or w/o antepartum conditn ...
MESH TREE NUMBER CHANGES - 2015 MeSH
MH DELETED MN ADDED MN
Cerebrospinal Fluid Leak C26.260.147 Cerebrospinal Fluid Otorrhea C26.260.147.500 Cerebrospinal Fluid Rhinorrhea C26.260. ... Fluid N6.850.860.510.900.800 Water D1.455.900 D1.45.250.875 D1.248.497.158.459.650 Water Resources G1.311.910 G16.500.275.553. ... Labyrinthine Fluids A9.246.631.455 Lac Repressors D12.776.930.700.781 D12.776.930.780.781 Lactalbumin D12.776.256.626.506 ...
MH DELETED MN ADDED MN
Cerebrospinal Fluid Leak C26.260.147 Cerebrospinal Fluid Otorrhea C26.260.147.500 Cerebrospinal Fluid Rhinorrhea C26.260. ... Fluid N6.850.860.510.900.800 Water D1.455.900 D1.45.250.875 D1.248.497.158.459.650 Water Resources G1.311.910 G16.500.275.553. ... Labyrinthine Fluids A9.246.631.455 Lac Repressors D12.776.930.700.781 D12.776.930.780.781 Lactalbumin D12.776.256.626.506 ...
MESH TREE NUMBER CHANGES - 2015 MeSH
MESH TREE NUMBER CHANGES - 2015 MeSH
Cerebrospinal Fluid Analysis: Reference Range, Interpretation, Collection and Panels
The reference range for cerebrospinal fluid analysis is as follows: Opening pressure - 90-180 mm H2 O (with patient lying in ... These electrophoretic properties of transferrin isoforms have diagnostic application in rhinorrhea or otorrhea (leakage of CSF ... encoded search term (Cerebrospinal Fluid Analysis) and Cerebrospinal Fluid Analysis What to Read Next on Medscape ... Cerebrospinal fluid (CSF) represents the fluid that is produced in the choroid plexuses of the ventricles of the brain. The CSF ...
Post-13-Valent Pneumococcal Conjugate Vaccine Dynamics in Young Children of Serotypes Included in Candidate Extended-Spectrum...
This nationwide study was conducted in all 27 medical centers routinely obtaining cerebrospinal fluid (CSF) and blood cultures ... spontaneous otorrhea. Most of the children had complex OM (nonresponsive, recurrent, spontaneous perforation, or chronic ear ... Otitis Media and Middle Ear Fluid Cultures. Specimen swabs were sent in transport medium. They were processed in a similar ... 24 months of age who were residents of the Negev region and had OM judged to necessitate middle ear fluid (MEF) culture. ...
PROC FORMAT for International Classification of Diseases, 10th Revision (ICD-10) codes
"G96.0 Cerebrospinal fluid leak" "G961" = "G96.1 Disorders of meninges, not elsewhere classified" "G968" = "G96.8 Other ... " = "H92.1 Otorrhea" "H922" = "H92.2 Otorrhagia" "H93" = "H93 Other disorders of ear, not elsewhere classified" "H930" = "H93.0 ... Abnormal findings in cerebrospinal fluid" "R830" = "R83.0 Abnormal level of enzymes" "R831" = "R83.1 Abnormal level of hormones ... " = "E87.7 Fluid overload" "E878" = "E87.8 Other disorders of electrolyte and fluid balance, not elsewhere classified" "E88 ...
Patients2
- Patients with chronic otitis media often present with otorrhea and progressive hearing loss. (medscape.com)
- Most lightning patients do not require aggressive fluid resuscitation, alkalinization of the urine, or transfer to burn units. (medscape.com)
Spontaneous10
- 1. Transmastoid approach to spontaneous temporal bone cerebrospinal fluid leaks: hearing improvement and success of repair. (nih.gov)
- 2. Management of spontaneous cerebrospinal fluid otorrhea. (nih.gov)
- 5. Analysis of Audiometric Outcomes following Combined Middle Cranial Fossa/Transmastoid Approaches for Spontaneous Cerebrospinal Fluid Otorrhea. (nih.gov)
- 6. Spontaneous cerebrospinal fluid effusion of the temporal bone: repair, audiological outcomes, and obesity. (nih.gov)
- 7. Diagnosis and management of spontaneous cerebrospinal fluid-middle ear effusion and otorrhea. (nih.gov)
- 8. Middle cranial fossa approach for the repair of spontaneous cerebrospinal fluid leaks to the middle ear. (nih.gov)
- 10. Diagnosis and management of spontaneous cerebrospinal fluid otorrhea. (nih.gov)
- 15. ICP, BMI, surgical repair, and CSF diversion in patients presenting with spontaneous CSF otorrhea. (nih.gov)
- 18. Association of benign intracranial hypertension and spontaneous encephalocele with cerebrospinal fluid leak. (nih.gov)
- Spontaneous cerebrospinal fluid otorrhoea: case report and literature review. (ent-review.com)
Traumatic1
- Typically, high levels of oxyhemoglobin occur in CSF fluid obtained through a traumatic lumbar puncture, in which red blood cells enter the subarachnoid space via direct needle puncture. (medscape.com)
Leaks4
- 3. Transmastoid approach to temporal bone cerebrospinal fluid leaks. (nih.gov)
- 14. Management of cerebrospinal fluid leaks involving the temporal bone: report on 92 patients. (nih.gov)
- 16. Cerebrospinal fluid leaks and encephaloceles of temporal bone origin: nuances to diagnosis and management. (nih.gov)
- 17. Surgical management of temporal meningoencephaloceles, cerebrospinal fluid leaks, and intracranial hypertension: treatment paradigm and outcomes. (nih.gov)
Discharge2
- Ear discharge (otorrhea) is drainage exiting the ear. (msdmanuals.com)
- Discharge of cerebrospinal fluid through the external auditory meatus or through the eustachian tube into the nasopharynx. (nih.gov)
Repair1
- 4. Temporal bone encephalocele and cerebrospinal fluid fistula repair utilizing the middle cranial fossa or combined mastoid-middle cranial fossa approach. (nih.gov)