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)
Otolaryngology
Fibrin Tissue Adhesive
An autologous or commercial tissue adhesive containing FIBRINOGEN and THROMBIN. The commercial product is a two component system from human plasma that contains more than fibrinogen and thrombin. The first component contains highly concentrated fibrinogen, FACTOR VIII, fibronectin, and traces of other plasma proteins. The second component contains thrombin, calcium chloride, and antifibrinolytic agents such as APROTININ. Mixing of the two components promotes BLOOD CLOTTING and the formation and cross-linking of fibrin. The tissue adhesive is used for tissue sealing, HEMOSTASIS, and WOUND HEALING.
Otorhinolaryngologic Diseases
Pit and Fissure Sealants
Fibrin
Otorhinolaryngologic Surgical Procedures
Cerebrospinal Fluid Rhinorrhea
Retrospective Studies
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Diagnostic Tests, Routine
Academic Medical Centers
Middle Ear Ventilation
Temporal Bone
Either of a pair of compound bones forming the lateral (left and right) surfaces and base of the skull which contains the organs of hearing. It is a large bone formed by the fusion of parts: the squamous (the flattened anterior-superior part), the tympanic (the curved anterior-inferior part), the mastoid (the irregular posterior portion), and the petrous (the part at the base of the skull).
Arachnoid Cysts
Intracranial or spinal cavities containing a cerebrospinal-like fluid, the wall of which is composed of arachnoidal cells. They are most often developmental or related to trauma. Intracranial arachnoid cysts usually occur adjacent to arachnoidal cistern and may present with HYDROCEPHALUS; HEADACHE; SEIZURES; and focal neurologic signs. (From Joynt, Clinical Neurology, 1994, Ch44, pp105-115)
Arachnoid
Cranial Fossa, Middle
The compartment containing the anterior extremities and half the inferior surface of the temporal lobes (TEMPORAL LOBE) of the cerebral hemispheres. Lying posterior and inferior to the anterior cranial fossa (CRANIAL FOSSA, ANTERIOR), it is formed by part of the TEMPORAL BONE and SPHENOID BONE. It is separated from the posterior cranial fossa (CRANIAL FOSSA, POSTERIOR) by crests formed by the superior borders of the petrous parts of the temporal bones.
Ear, Middle
Neuroma, Acoustic
A benign SCHWANNOMA of the eighth cranial nerve (VESTIBULOCOCHLEAR NERVE), mostly arising from the vestibular branch (VESTIBULAR NERVE) during the fifth or sixth decade of life. Clinical manifestations include HEARING LOSS; HEADACHE; VERTIGO; TINNITUS; and FACIAL PAIN. Bilateral acoustic neuromas are associated with NEUROFIBROMATOSIS 2. (From Adams et al., Principles of Neurology, 6th ed, p673)
Skull Fractures
Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).
Skull Fracture, Basilar
Fractures which extend through the base of the SKULL, usually involving the PETROUS BONE. Battle's sign (characterized by skin discoloration due to extravasation of blood into the subcutaneous tissue behind the ear and over the mastoid process), CRANIAL NEUROPATHIES, TRAUMATIC; CAROTID-CAVERNOUS SINUS FISTULA; and CEREBROSPINAL FLUID OTORRHEA are relatively frequent sequelae of this condition. (Adams et al., Principles of Neurology, 6th ed, p876)
Skull Fracture, Depressed
A skull fracture characterized by inward depression of a fragment or section of cranial bone, often compressing the underlying dura mater and brain. Depressed cranial fractures which feature open skin wounds that communicate with skull fragments are referred to as compound depressed skull fractures.
Fracture Healing
Gemella
Encyclopedias as Topic
Paranasal Sinuses
Air-filled spaces located within the bones around the NASAL CAVITY. They are extensions of the nasal cavity and lined by the ciliated NASAL MUCOSA. Each sinus is named for the cranial bone in which it is located, such as the ETHMOID SINUS; the FRONTAL SINUS; the MAXILLARY SINUS; and the SPHENOID SINUS.
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)
Spontaneous cerebrospinal fluid otorrhea from tegmen tympani defect caused by an arachnoid cyst - A case report<...
Management of spontaneous cerebrospinal fluid otorrhea<...
Fibrin sealant for control of cerebrospinal fluid otorrhea<...
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Otorrhea Herbal Treatment, Prevention, Symptoms, Causes, Cured By
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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, ...
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.[10][11][12][13][14][15][16] ... due to the usual development of a cystic mass filled with cerebrospinal fluid is a rare complication of head injury usually ...
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 ...
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 most dense portion of ... 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- ...
Cerebrospinal fluid rhinorrhoea
Other signs of a basilar skull fracture includes CSF otorrhoea (drainage of CSF through the ear). It can have devastating ... CSF rhinorrhoea refers to the drainage of cerebrospinal fluid through the nose. Measures of CSF components such as glucose have ... the cerebrospinal fluid and the central nervous system can result in bacterial infections of the latter that can have ... "Cerebrospinal Fluid Rhinorrhea: Diagnosis and Management". Otolaryngologic Clinics of North America. 38 (4): 597-611. doi: ...
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 ... A cerebrospinal fluid leak can be either cranial or spinal, and these are two different disorders. A spinal CSF leak can be ... A cerebrospinal fluid leak can be a rare complication of an anterior cervical discectomy and fusion (ACDF). One study suggested ...
Head injury
... and cerebrospinal fluid rhinorrhea and otorrhea.. Because brain injuries can be life-threatening, even people with apparently ... leaking cerebrospinal fluid (a clear fluid drainage from nose, mouth or ear) is strongly indicative of basilar skull fracture ... 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 ...
Bony labyrinth
... sensorineural deafness and cerebrospinal fluid otorrhea. On radiographic images, the otic capsule is the most dense portion of ... They contain a clear fluid, the perilymph, in which the membranous labyrinth is situated. ...
Cerebrospinal Fluid Otorrhea | Profiles RNS
Cerebrospinal Fluid Otorrhea, Traumatic*Cerebrospinal Fluid Otorrhea, Traumatic. *Otorrhea, Cerebrospinal Fluid, Post-Traumatic ... Cerebrospinal Fluid Otorrhea, Spontaneous*Cerebrospinal Fluid Otorrhea, Spontaneous. *Spontaneous Otorrhea, Cerebrospinal Fluid ... "Cerebrospinal Fluid Otorrhea" by people in this website by year, and whether "Cerebrospinal Fluid Otorrhea" was a major or ... "Cerebrospinal Fluid Otorrhea" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH ( ...
Fibrin sealant for control of cerebrospinal fluid otorrhea<...
Fraioli, R. E., Hirsch, B. E., & Kassam, A. B. (2008). Fibrin sealant for control of cerebrospinal fluid otorrhea. American ... Fraioli, Rebecca E. ; Hirsch, Barry E. ; Kassam, Amin B. / Fibrin sealant for control of cerebrospinal fluid otorrhea. In: ... Fraioli, RE, Hirsch, BE & Kassam, AB 2008, Fibrin sealant for control of cerebrospinal fluid otorrhea, American Journal of ... Fibrin sealant for control of cerebrospinal fluid otorrhea. / Fraioli, Rebecca E.; Hirsch, Barry E.; Kassam, Amin B. ...
Persistent Cerebrospinal Fluid Otorrhea | JAMA Otolaryngology-Head & Neck Surgery | JAMA Network
... otorrhea were seen at the Mayo Clinic during the years 1955 through 1965. Two of these patients had com ... Cerebrospinal fluid otorrhea is caused most often by skull fracture, and is looked for routinely in patients who have had ... EIGHT PATIENTS with persistent cerebrospinal fluid (CSF) otorrhea were seen at the Mayo Clinic during the years 1955 through ... Persistent Cerebrospinal Fluid Otorrhea. Arch Otolaryngol. 1967;86(4):377-381. doi:10.1001/archotol.1967.00760050379005 ...
Management of spontaneous cerebrospinal fluid otorrhea<...
Management of spontaneous cerebrospinal fluid otorrhea. Together they form a unique fingerprint. * Cerebrospinal Fluid ... Management of spontaneous cerebrospinal fluid otorrhea. / Kutz, Joe Walter; Husain, Inna Athar; Isaacson, Brandon; Roland, ... Kutz, J. W., Husain, I. A., Isaacson, B., & Roland, P. S. (2008). Management of spontaneous cerebrospinal fluid otorrhea. ... Kutz, JW, Husain, IA, Isaacson, B & Roland, PS 2008, Management of spontaneous cerebrospinal fluid otorrhea, Laryngoscope, ...
Spontaneous cerebrospinal fluid otorrhoea: case report and literature review.
Spontaneous cerebrospinal fluid otorrhoea: case report and literature review. Authors : J. R. Paschoal, R. Maunsell, A. Vargas ... Summary : Cerebrospinal fluid otorrhoea may occur through the temporal bone both in children and adults. In children it is ... Spontaneous cerebrospinal fluid otorrhoea in adults may present with dull symptoms such as a blocked ear or short term ... The authors describe a case of spontaneous cerebrospinal fluid otorrhoea occuring in an adult patient with bilateral abscence ...
Cerebrospinal Fluid Otorrhea Caused by Arachnoid Granulation | Korean Journal of Audiology;: 152-155, 2012. | WPRIM
Cerebrospinal fluid (CSF) leakage otorrhea may be congenital or can be caused by trauma, surgery, cholesteatoma, and tumors. ... Full text: Available Index: WPRIM (Western Pacific) Main subject: Arachnoid / Cerebrospinal Fluid Otorrhea / Cholesteatoma / ... Full text: Available Index: WPRIM (Western Pacific) Main subject: Arachnoid / Cerebrospinal Fluid Otorrhea / Cholesteatoma / ... Herein, we examine and report a case of CSF otorrhea caused by arachnoid granulation. Literatures pertaining to the disorder ...
Spontaneous cerebrospinal fluid otorrhea and pneumocephalus on the contralateral side of the previous cranial surgery -...
Adult spontaneous cerebrospinal fluid otorrhea: Diagnosis and management.. Am J Otol. 1999;20:770-776. [Google Scholar] ... Management of spontaneous cerebrospinal fluid otorrhea.. Laryngoscope. 2008;118(12):2195-9. [Google Scholar] ... Arachnoid granulation cerebrospinal fluid otorrhea.. Ann Otol Rhinol Laryngol. 1990;99:854-862. [Google Scholar] ... Spontaneous cerebrospinal fluid otorrhea and pneumocephalus on the contralateral side of the previous cranial surgery. ...
Spontaneous cerebrospinal fluid otorrhea from tegmen tympani defect caused by an arachnoid cyst - A case report<...
Spontaneous cerebrospinal fluid otorrhea from tegmen tympani defect caused by an arachnoid cyst - A case report. In: Tzu Chi ... Wang, H. K., Lo, W. C., Chang, C. J., Huang, Y. C., & Wang, P. C. (2005). Spontaneous cerebrospinal fluid otorrhea from tegmen ... Spontaneous cerebrospinal fluid otorrhea from tegmen tympani defect caused by an arachnoid cyst - A case report. Tzu Chi ... N2 - Adult-onset cerebrospinal fluid (CSF) otorrhea is usually associated with a herniation of brain tissue, or meninges as a ...
Control of cerebrospinal fluid otorrhea via C-arm-guided reduction of the zygomatic arch as a part of the temporal bone:...
Control of cerebrospinal fluid otorrhea via C-arm-guided reduction of the zygomatic arch as a part of the temporal bone: ... Jan 19, 2018 , Posted by drzezo in Oral and Maxillofacial Surgery , Comments Off on Control of cerebrospinal fluid otorrhea via ... Fluid from the external auditory canal displayed a halo sign on the gauze, indicating CSF otorrhea due to a ruptured tympanic ... Persistent cerebrospinal fluid (CSF) leakage that is refractory to conservative measures usually requires surgical closure to ...
Spontaneous CSF otorrhoea: review of literature. - Free Online Library
Spontaneous CSF otorrhoea: review of literature. by Journal of Evolution of Medical and Dental Sciences; Health, general ... Management of spontaneous cerebrospinal fluid otorrhea. Laryngoscope 2008: 118: 2195-9. (12.) Stenzel M. Preuss S, Orloff L. ... Adult spontaneous cerebrospinal fluid otorrhea. Report of two cases and review of the literature. Neurocirugia (Astur) 2011; 22 ... INTRODUCTION: Spontaneous cerebrospinal fluid otorrhoea or temporal CSF leakage represents a difficult and serious condition to ...
Synovial fluid - Answers on HealthTap
If a joint becomes injured or inflamed then excessive fluid can be produced causing joint swelling which you should check out ... The lining of your joints called synovium produces fluid that assists joint lubrication/nourishment. ... Yes: Cerebrospinal fluid (CSF) rhinorrhea is a curable condition. The source of the fluid leak must first be identified, ... Yes: CSF otorrhea is caused by a defect in the bone surrounding the ear and the temporal bone. It can be cured but will require ...
Spontaneous CSF Otorrhea Caused by Abnormal Development of the Facial Nerve Canal | American Journal of Neuroradiology
Spontaneous cerebrospinal fluid otorrhea from defects of the temporal bone: a rare entity? Am J Otol 1995;16:765-771. ... Arachnoid granulation cerebrospinal fluid otorrhea. Ann Otol Rhinol Laryngol 1990;99:854-862. ... Congenital cerebrospinal fluid fistulae of the petrous temporal bone. Clin Otolaryngol 1986;11:79-92. ... Mondini dysplasia is not associated with meningitis and cerebrospinal fluid fistula (letter). . Arch Otolaryngol Head Neck Surg ...
Effects of Tracheal Tube Size on Pulmonary Aspiration
... clinicaltrials.gov Fluid leak around the cuff is minimized when the endotracheal tube size is small relative to the size of the ... Cerebrospinal Fluid Otorrhea. Discharge of cerebrospinal fluid through the external auditory meatus or through the eustachian ... Leakage and accumulation of CEREBROSPINAL FLUID in the subdural space which may be associated with an infectious process; ... Fluid leak around the cuff is minimized when the endotracheal tube size is small relative to the size of the trachea. In the ...
Cerebrospinal Fluid Leak Imaging: Practice Essentials, Computed Tomography, Magnetic Resonance Imaging
... otorrhea), or from a traumatic or operative defect in the skull or spine. The fluid leak is a result of meningeal dural and ... Cerebrospinal fluid (CSF) leak may occur from the nose (rhinorrhea), from the external auditory canal ( ... encoded search term (Cerebrospinal Fluid Leak Imaging) and Cerebrospinal Fluid Leak Imaging What to Read Next on Medscape. ... Cerebrospinal fluid (CSF) leak may occur from the nose (rhinorrhea), from the external auditory canal (otorrhea), or from a ...
CiNii Articles - 望月 元博
Maunsell R[Au] - PubMed - NCBI
Management of unexpected cerebrospinal fluid fistulae during endoscopic sinus surgery.
The aim of this study was to determine the incidence and perioperative management of patients with cerebrospinal fluid (CSF) ... Cerebrospinal Fluid / chemistry*. Cerebrospinal Fluid Otorrhea / etiology, prevention & control*. Endoscopy / adverse effects ... The aim of this study was to determine the incidence and perioperative management of patients with cerebrospinal fluid (CSF) ...
Management of the Draining Ear in Children
Less common etiologies include cerebrospinal fluid otorrhea from ... Otorrhea may result from many causes, including soiling of ears ... or otorrhea, is commonly encountered in pediatric practice and can present a diagnostic and therapeutic quandary to the ... Cerebrospinal Fluid Otorrhea and Perilymphatic Fistula. Clear discharge from the ear is rare but may suggest the presence of a ... Less common etiologies include cerebrospinal fluid otorrhea from congenital malformations or trauma, otitic candidiasis, and ...
Skull fractures - Symptoms, diagnosis and treatment | BMJ Best Practice US
A to Z: Otorrhea (for Parents) - Nemours
Learn more about otorrhea, discharge from the external part of the ear. ... Head injury can cause leaking of cerebrospinal fluid (the fluid that surrounds the brain and spinal cord). Head injury is a ... Otorrhea is discharge from the external part of the ear canal.. More to Know. Ear drainage can be serous (thin and watery), ... Many things can cause fluid to drain from the ear. Most commonly, it occurs with swimmers ear or when an ear infection leads ...
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 ...
Prevalence of Spontaneous Asymptomatic Facial Nerve Canal Meningoceles: A Retrospective Review | American Journal of...
Cerebrospinal fluid otorrhea through a congenitally patent fallopian canal. Arch Otolaryngol Head Neck Surg 2000;126:540-42 doi ... Fallopian canal meningocele with spontaneous cerebrospinal fluid otorrhea: case report and systematic review of the literature ... Spontaneous skull base meningoencephaloceles and cerebrospinal fluid fistulas. Radiographics 2013;33:553-70 doi:10.1148/rg. ... Spontaneous cerebrospinal fluid fistula through a congenitally patent facial nerve canal: incrimination of idiopathic ...
Oh M[au] - PubMed - NCBI
Browse | jns
Cerebrospinal fluid rhinorrhea (p , 0.001, OR 22.8, 95% CI 15.6-33.3), CSF otorrhea (p , 0.001, OR 9.2, 95% CI 5.2-16.09), and ... Cerebrospinal fluid rhinorrhea was reported in 453 head injury patients (0.1%) and CSF otorrhea in 582 (0.2%). Of the patients ... Cerebrospinal fluid rhinorrhea and CSF otorrhea are independent predictors of posttraumatic meningitis. Furthermore, meningitis ... Cerebrospinal fluid shunts in patients with posthemorrhagic hydrocephalus are prone to failure, with some patients at risk for ...
Recurrent meningitis | definition of recurrent meningitis by Medical dictionary
2) Cases of CSF otorrhea giving rise to recurrent meningitis have also been described in the literature.. Cerebrospinal fluid ... These are most commonly recurrent meningitis and cerebrospinal fluid (CSF) rhinorrhea.. Recurrent meningitis in a child with ... there will be a limited number of inflammatory cells in the cerebrospinal fluid, and this may indicate a less serious course of ...
Annual Review of Hydrocephalus - - acheter English books | exlibris.ch
Spontaneous Cerebrospinal Fluid Otorrhea in Association with an Aqueductal Stenosis.- (8) Sudden Death in Hydrocephalic Spina ... Cerebrospinal Fluid Shunt Infections in Children.- (17) Bacterial Adhesion to Cerebrospinal Fluid Shunts.- (18) Obstructive ... Dynamic Changes of Cerebrospinal Fluid Shunt Flow in Patients Daily Life.- (14) Causal Factors of Shunt Revision in Nontumoral ... Audible Cerebrospinal Fluid Flow through a Ventriculoperitoneal Shunt: Report of two cases.- (26) Infantile Hydrocephalus and ...
Skull Fracture
... and CEREBROSPINAL FLUID OTORRHEA are relatively frequent sequelae of this condition. (Adams et al., Principles of Neurology, ... Bedside Glucose of draining fluid. *CSF fluid will have bedside Glucose ,30 mg/dl ... Small outer ring of clear CSF fluid (analogous to the rind of a watermelon) ... Large Inner ring of pink, bloody CSF fluid. * ... Sphenoid Sinus or Frontal Sinus air fluid level. *Cribiform ...
CSF leaks
Rao, N. and M. Redleaf (2016). Spontaneous middle cranial fossa cerebrospinal fluid otorrhea in adults. Laryngoscope 126(2): ... Superior semicircular canal dehiscence in patients with spontaneous cerebrospinal fluid otorrhea. Otolaryngol Head Neck Surg. ... Cerebrospinal Fluid (CSF) Leaks. Timothy C. Hain, MD.. Page last modified: April 25, 2020. ... Cerebrospinal fluid depletion may be caused by a leak, a shunt, inadequate production or too rapid absorption. There are also ...
Spontaneous cerebrospinal fluid rhinorrhea, Medicine | 10.1097/MD.0000000000009758 | DeepDyve
"Spontaneous cerebrospinal fluid rhinorrhea, Medicine" on DeepDyve, the largest online rental service for scholarly research ... Imaging of Cerebrospinal Fluid Rhinorrhea and Otorrhea. * The results of the surgical treatment of spontaneous rhinorrhea via ... Spontaneous cerebrospinal fluid rhinorrhea. Spontaneous cerebrospinal fluid rhinorrhea Chen, Guang Yong; Ma, Long; Xu, Mei Ling ... Spontaneous cerebrospinal fluid rhinorrhea. Chen, Guang Yong; Ma, Long; Xu, Mei Ling; Zhang, Jin Nan; He, Zhi Dong; He, Cheng ...
LeakLeaksRhinorrhea and OtorrheaFistulaRhinorrhoeaLeakage of cerebrospinal fluidMeningitisEncephaloceleTemporalHemotympanumPATIENTSLumbarOtitis mediaDiagnosisCases of cerebrospinal fluidIntracranialSuggestive of CSF otorrhoeaCranialNoseArachnoid granulationDischargeBeta-2 transferrPostoperativeTympanic membraneFistulaeDefectMiddle earSpontaneous CSFDrainageClear colourless fluidTegmen tympaniBasilarAcuteCholesteatomaNasalSkull FracturesHearing impairmentEarsChronicSymptomsAdultsMastoidectomySecondaryClinicalBrain and spinal cordSpinal fluid
Leak25
- A small defect of 3mm size in the anterior aspect of tegmen tympani with contrast leak in to left middle ear cavity and mastoid air cells with opacification of cotton swab kept in left external ear--Findings are suggestive of CSF otorrhoea. (thefreelibrary.com)
- Fluid leak around the cuff is minimized when the endotracheal tube size is small relative to the size of the trachea. (bioportfolio.com)
- Cerebrospinal fluid (CSF) leak may occur from the nose ( rhinorrhea ), from the external auditory canal ( otorrhea ), or from a traumatic or operative defect in the skull or spine. (medscape.com)
- [ 1 ] The fluid leak is a result of meningeal dural and arachnoid laceration with fistula formation. (medscape.com)
- This coronal magnetic resonance cisternogram demonstrates a left-sided cerebrospinal fluid leak through the cribriform plate (small arrows), which was clinically suspected. (medscape.com)
- The image also shows a right-sided meningocele (large arrow) protruding through the cribriform plate, which was not suspected but was surgically repaired at the same time as the left cribriform cerebrospinal fluid leak site. (medscape.com)
- Drops of fluid from a CSF leak placed on absorbent filter paper may result in the double-ring sign, a central circle of blood and an outer clear ring of CSF. (medscape.com)
- An absorptive sponge pad placed at or near the presumed site of fluid leak can facilitate the collection of the fluid. (medscape.com)
- Surgical intervention is determined not by the fracture per se but by extent of associated intracranial pathology, cranial nerve deficit, or cerebrospinal fluid leak. (bmj.com)
- Cerebrospinal fluid depletion may be caused by a leak, a shunt, inadequate production or too rapid absorption. (dizziness-and-balance.com)
- They conclude that CSF leak is a rare complication in IIH, rhinorrhea can be a presenting sign, and both rhinorrhea and otorrhea can be a late sign of the disease. (aao.org)
- In cases of cerebrospinal fluid (CSF) leaks, reliable detection of their origins is needed to seal the leak sufficiently and prevent complications, such as meningitis. (jove.com)
- The origin of the fluid leak is identified in the stapes footplate. (jove.com)
- Testing for a CSF leak is appropriate in patients with otorrhea or rhinorrhea, particularly following trauma or surgery. (arupconsult.com)
- Testing fluid from the ear or nose for β-2 transferrin is the recommended method to assess patients for a CSF leak because this approach is noninvasive as well as highly sensitive and specific. (arupconsult.com)
- Spontaneous cerebrospinal fluid leak with meningoencephaloceles in sphenoid sinus lateral recess is challenging. (springermedizin.de)
- Seven patients with spontaneous cerebrospinal fluid leak with meningoencephaloceles in the sphenoid sinus lateral recess were included. (springermedizin.de)
- No cerebrospinal fluid leak recurrences were observed during follow-up period that ranged from 37 to 48 months. (springermedizin.de)
- Endoscopic endonasal retrograde trans-sphenoid approach provides a wide, safe, and direct route to the management of sphenoid sinus lateral recess cerebrospinal fluid leak. (springermedizin.de)
- Physical findings of basilar skull fracture, such as hemotympanum , raccoon eyes, Battle's sign, or evidence of a cerebrospinal leak. (thefreedictionary.com)
- If you suffer an injury which causes a tear in the membranes covering the brain and spine, CSF may leak out from either the nose or the ear (rhinorrhoea or otorrhoea). (labtestsonline.org.uk)
- Symptoms include leak of clear fluid through the ear, inflammation of the membranes that cover the brain ( meningitis ), hearing loss , and seizures . (cdc.gov)
- The cause of a spinal fluid leak through the ear is a defect of the bone and meningeal layers covering the brain that separate the subarachnoid space of the brain from the middle ear and mastoid bone (located just behind the ear). (cdc.gov)
- ClinicalTrials.gov lists trials that are related to Cerebrospinal fluid leak. (cdc.gov)
- PubMed is a searchable database of medical literature and lists journal articles that discuss Cerebrospinal fluid leak. (cdc.gov)
Leaks13
- Cerebrospinal fluid (CSF) leaks and pneumocephalus commonly occur due to head trauma or surgical procedures. (scientificscholar.in)
- Cerebrospinal fluid (CSF) leaks and pneumocephalus occur due to abnormal communication between the subarachnoid space and the adjacent paranasal sinuses. (scientificscholar.in)
- Cerebrospinal fluid (CSF) leaks, also referred to as CSF fistulas, result from dura mater defects that allow CSF to escape from the intracranial space and into outer areas such as nasal and auricular cavities. (arupconsult.com)
- How do cerebrospinal fluid leaks present clinically? (arupconsult.com)
- Should glucose oxidase testing be used for the diagnosis of cerebrospinal fluid leaks? (arupconsult.com)
- Traditional assessment for cerebrospinal fluid (CSF) leaks involved testing nasal discharge with glucose oxidase strips (Glucostix). (arupconsult.com)
- What is the connection between cerebrospinal fluid leaks and connective tissue disorders? (arupconsult.com)
- Spontaneous cerebrospinal fluid (CSF) leaks have been reported in association with heritable connective tissue disorders such as Marfan syndrome and Ehlers-Danlos syndrome, and can be the first presenting sign of the disease. (arupconsult.com)
- Lopatin AS, Kapitanov DN, Potapov AA (2003) Endonasal endoscopic repair of spontaneous cerebrospinal fluid leaks. (springermedizin.de)
- Carrau RL, Snyderman CH, Kassam AB (2005) The management of cerebrospinal fluid leaks in patients at risk for high-pressure hydrocephalus. (springermedizin.de)
- Mattox DE, Kennedy DW (1990) Endoscopic management of cerebrospinal fluid leaks and cephaloceles. (springermedizin.de)
- ORLANDO, FL-Does multilevel upper airway surgery preclude continuous positive airway pressure (CPAP) usage, and is there a best way to repair cerebrospinal fluid (CSF) leaks? (enttoday.org)
- Cerebrospinal fluid (CSF) leaks are extracranial egress of CSF into the adjacent paranasal sinus or tympanomastoid cavity due to an osteodural defect involving skull base. (bvsalud.org)
Rhinorrhea and Otorrhea1
- We have shown that rhinorrhea can be the presenting sign in these patients and that rhinorrhea and otorrhea can be a late sign of the disease. (noninvasiveicp.com)
Fistula3
- 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. (ajnr.org)
- Spontaneous lateral sphenoid cerebrospinal fluid fistula: MRI diagnosis. (springermedizin.de)
- Shapiro, S & Scully, T 1992, ' Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention of cranial/spinal cerebrospinal fluid fistula ', Neurosurgery , vol. 30, no. 2, pp. 241-245. (elsevier.com)
Rhinorrhoea6
- Although presenting symptoms can be subtle, early suspicion of confirmatory imaging aid in establishing the diagnosis, Galbarriatu and others, (1,2,3) it can be associated with or without skull base defect (4), in the other hand spontaneous CSF otorrhoea is a rare entity, (4) CSF leakage can trickle down through the eustachian tube more details to be presented as CSF oto-rhinorrhoea or nasal discharge. (thefreelibrary.com)
- CSF rhinorrhoea refers to the drainage of cerebrospinal fluid through the nose. (wikipedia.org)
- Gadolinium-myelocisternography for cerebrospinal fluid rhinorrhoea. (no-pasaran.mobi)
- Dunn CJ, Alaani A, Johnson AP (2005) Study on spontaneous cerebrospinal fluid rhinorrhoea: its aetiology and management. (springermedizin.de)
- Hao SP (1996) Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea: an interposition technique. (springermedizin.de)
- If there is a watery discharge from your nose or ear (rhinorrhoea or otorrhoea) after you have suffered a skull fracture or after brain surgery. (labtestsonline.org.uk)
Leakage of cerebrospinal fluid3
- Some of these causes are more serious than others: for example a head injury can result in a leakage of cerebrospinal fluid from the brain. (medic8.com)
- Leakage of cerebrospinal fluid that fails to heal spontaneously requires treatment, drainage, or surgery to avoid increased threat of infection and meningitis. (visualdx.com)
- Cerebrospinal fluid (CSF) otorrhea is the leakage of cerebrospinal fluid (CSF) though the ear. (cdc.gov)
Meningitis12
- Meningitis or intracranial abscess is to be expected in any patient with persistent CSF otorrhea. (jamanetwork.com)
- We present a unique case in which an infra-temporal arachnoid cyst eroded the tegmen tympani that caused conductive hearing loss, CSF otorrhea, and repealed meningitis. (elsevier.com)
- Persistent cerebrospinal fluid (CSF) leakage that is refractory to conservative measures usually requires surgical closure to decrease the risk of meningitis. (pocketdentistry.com)
- CSF middle ear effusion/otorrhoea can develop in adults without history of meningitis or head trauma or any apparent proximate cause. (thefreelibrary.com)
- These are most commonly recurrent meningitis and cerebrospinal fluid (CSF) rhinorrhea. (thefreedictionary.com)
- 2) Cases of CSF otorrhea giving rise to recurrent meningitis have also been described in the literature. (thefreedictionary.com)
- Although patients present with recurrent meningitis , there will be a limited number of inflammatory cells in the cerebrospinal fluid, and this may indicate a less serious course of disease than one might expect. (thefreedictionary.com)
- Az aszcend l bakteri lis fert z s kapcs n kialakult meningitis szan l s t k vet en a beteget megoper lt k, front lis craniotomia ut n b zisrekonstrukci t v geztek. (elitmed.hu)
- There were no complications such as postoperative otorrhoea, meningitis, or epilepsy. (hindawi.com)
- The spinal fluid profiles in bacterial and chemical meningitis are similar. (oup.com)
- RESULTS: The patients presented mostly with typical symptoms of meningitis, severe hearing impairment, and CSF otorrhea or rhinorrhea. (bvsalud.org)
- The most common symptoms were meningitis, hearing impairment, and CSF otorrhea or rhinorrhea. (bvsalud.org)
Encephalocele3
- Any clear pulsating fluid through myringotomy should arise the suspicion of CSF otorrhoea and encephalocele. (thefreelibrary.com)
- Any clear pulsating fluid through myringotomy should arise the suspicion of CSF otorrhoea and encephalocele which is a protrusion of intracranial contents can include brain matter and meninges through a defect in the cranium or skull base. (thefreelibrary.com)
- The Prevalence of Superior Semicircular Canal Dehiscence in Patients With Mastoid Encephalocele or Cerebrospinal Fluid Otorrhea. (nih.gov)
Temporal8
- To describe the surgical approaches and materials used to repair spontaneous cerebrospinal fluid (CSF) otorrhea of temporal bone origin. (elsevier.com)
- Cerebrospinal fluid otorrhoea may occur through the temporal bone both in children and adults. (ent-review.com)
- Adult-onset cerebrospinal fluid (CSF) otorrhea is usually associated with a herniation of brain tissue, or meninges as a consequence of surgery or temporal bone trauma. (elsevier.com)
- We describe an unusual case of craniomaxillofacial injury exhibiting CSF otorrhea because of a temporal bone fracture with a fragment that included the zygomatic arch. (pocketdentistry.com)
- Here we present a case of craniomaxillofacial injuries with CSF otorrhea because of a temporal bone fracture with a fragment that included the zygomatic process. (pocketdentistry.com)
- INTRODUCTION: Spontaneous cerebrospinal fluid otorrhoea or temporal CSF leakage represents a difficult and serious condition to deal with, in terms of its diagnosis, especially with intact ear drum, management and its sequelae if not treated or diagnosed. (thefreelibrary.com)
- CSF otorrhea is caused by a defect in the bone surrounding the ear and the temporal bone. (healthtap.com)
- Temporal lobe encephaloceles and cerebrospinal fluid otorrhea from temporal bone defects that involve the tegmen tympani and mastoideum are generally repaired using middle fossa craniotomy, mastoidectomy, or combined approaches. (thejns.org)
Hemotympanum2
- 15, suspected open or depressed skull fracture, sign of fracture at the skull base (raccoon eyes, Battle's sign, hemotympanum, cerebrospinal fluid leakage from the ears or nose), post-traumatic seizure, focal neurological deficit, vomiting, amnesia of events. (psychiatryadvisor.com)
- Clinical signs of basilar skull fracture: Retroauricular bruising--Battle's sign (periorbital bruising)--raccoon eyes, hemotympanum , or cerebrospinal fluid otorrhea or rhinorrhea. (thefreedictionary.com)
PATIENTS29
- EIGHT PATIENTS with persistent cerebrospinal fluid (CSF) otorrhea were seen at the Mayo Clinic during the years 1955 through 1965. (jamanetwork.com)
- Cerebrospinal fluid otorrhea is caused most often by skull fracture, and is looked for routinely in patients who have had trauma to the head. (jamanetwork.com)
- Methods: All patients presenting with spontaneous CSF otorrhea or rhinorrhea over a consecutive 8-year period were included. (elsevier.com)
- Results: Seventeen patients underwent 19 operations for repair of spontaneous CSF otorrhea or rhinorrhea. (elsevier.com)
- In the current study, the investigators assess the influence of different HVLP endotracheal tube size on fluid leakage around the cuff in a benchtop model and in anesthetized patients. (bioportfolio.com)
- BACKGROUND: The aim of this study was to determine the incidence and perioperative management of patients with cerebrospinal fluid (CSF) fistulas during endoscopic sinus surgery (ESS) in New York State. (biomedsearch.com)
- Patients with chronic otitis media often present with otorrhea and progressive hearing loss. (medscape.com)
- 7) Resistance to Cerebrospinal Fluid Outflow and Intracranial Pressure in Patients with Hydrocephalus after Subarachnoid Haemorrhage. (exlibris.ch)
- 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 bacterial infections of the latter that can have catastrophic effects on the patient. (wikipedia.org)
- There were no major postoperative complications, recurrences of encephaloceles, or cerebrospinal fluid otorrhea in these patients. (thejns.org)
- The authors describe spontaneous cerebrospinal fluid (CSF) leakage as a result of chronic increased intracranial pressure (ICP) in four patients with idiopathic intracranial hypertension (IIH). (aao.org)
- Although rhinorrhea previously has been described in IIH patients, the authors believe this to be the first report of otorrhea in these patients. (aao.org)
- The authors say that because most patients do not realize the relationship between a clear fluid discharge from the nose or ear and their IIH, they usually do not provide this information. (aao.org)
- Lumbar cerebrospinal fluid (CSF) choline (CH) levels were measured in patients with Huntington's chorea (n = 14). (semanticscholar.org)
- Acetylcholine and choline in cerebrospinal fluid of patients with Parkinson's disease and Huntington's chorea. (semanticscholar.org)
- Cerebrospinal fluid (CSF) analysis is an important component of the diagnostic evaluation of patients with neurologic diseases, and abnormalities in the color, cellularity, and protein level of the CSF may contribute to or confirm the diagnosis. (semanticscholar.org)
- In this project we are collecting cerebrospinal fluid and blood from patients at Vanderbilt Medical Center who have a subarachnoid hemorrhage which has followed the rupture of a brain aneu. (bioportfolio.com)
- To determine the microbiological profile and antimicrobial susceptibility of patients with chronic otorrhoea and the validity of the Department of Health's (DoH) current guideline. (scielo.org.za)
- We included patients with chronic otorrhoea classified as either otitis media or otitis externa, according to our definitions. (scielo.org.za)
- Of 79 patients with otorrhoea, 50 had otitis media, 21 had otitis externa and the condition was not determined in 8 patients. (scielo.org.za)
- [1] In South Africa (SA), patients with otorrhoea are often initially treated at the primary healthcare level. (scielo.org.za)
- To investigate the microbiology profiles of patients presenting to a tertiary hospital in Cape Town with chronic otorrhoea and to ascertain the validity of the current treatment protocol for chronic otorrhoea outlined by the SA Department of Health (DoH). (scielo.org.za)
- Our exclusion criteria included: patients with cholesteatoma, patients who had previous surgery, anatomical factors predisposing patients to recurrent ear infection, patients with foreign bodies, cerebrospinal fluid otorrhoea and patients who had received systemic or topical antibiotics in the 2 weeks prior to presenting to the hospital. (scielo.org.za)
- OBJECTIVES/HYPOTHESIS: To determine the prevalence of elevated intracranial hypertension in patients with spontaneous cerebrospinal fluid otorrhea (SCSFO). (noninvasiveicp.com)
- BACKGROUND: Spontaneous cerebrospinal fluid (CSF) leakage may occur in patients with normal or increased intracranial pressure (ICP). (noninvasiveicp.com)
- OBJECTIVE: To describe the characteristics of the clinical presentation, diagnosis, surgical methods, and outcomes of patients with otogenic cerebrospinal fluid (CSF) leakage secondary to congenital inner ear dysplasia. (bvsalud.org)
- Twelve patients presented with an initial onset of otorrhea, and two had accompanying rhinorrhea. (bvsalud.org)
- One hundred and seven patients who had a lumbar subarachnoid catheter (teflon or silicone) placed for closed continuous cerebrospinal fluid (CSF) drainage between 1983-1991 are presented. (elsevier.com)
- Five patients were successfully treated for traumatic CSF rhinorrhea/otorrhea without complications. (elsevier.com)
Lumbar4
- Hematomyelia secondary to lumbar cerebrospinal fluid acquisition in a dog. (semanticscholar.org)
- In regard to blood in cerebrospinal fluid see also my Germ[an] Hosp notes on cases of F Baur (1910) of of E Hearn (1910), the latter notes with cuttings on the contra-indication of lumbar puncture etc. (wellcomecollection.org)
- Cerebrospinal fluid (CSF) pressure monitoring or lumbar puncture-which provides immediate symptomatic relief-are important in making a diagnosis of IIH. (noninvasiveicp.com)
- In second lumbar puncture, the pressure of cerebrospinal fluid was found to be 18 cmH20. (thefreedictionary.com)
Otitis media1
- We based the diagnosis of otitis media on the presence of a tympanic membrane (TM) perforation with the otorrhoea originating from the middle ear. (scielo.org.za)
Diagnosis5
- Diagnosis made as (L) CSF otorrhoea and posted for repair through transmastoid approach under general anaesthesia. (thefreelibrary.com)
- Diagnosis of CSF otorrhoea is dependent on good history, physical examination and radiologic investigations. (bioline.org.br)
- However, simple demonstration of glucose in the fluid using glucostix and absence of stickening of the handkerchief may strengthen the diagnosis of CSF [5, 6-9]. (bioline.org.br)
- Kerr JT, Chu FW, Bayles SW (2005) Cerebrospinal fluid rhinorrhea: diagnosis and management. (springermedizin.de)
- For quantification of hepatitis B virus DNA (HBV DNA), commercial assays are used with serum or plasma samples, but oral fluid samples could be an alternative for HBV diagnosis due to ease of collecti. (bioportfolio.com)
Cases of cerebrospinal fluid2
- Two Cases of Cerebrospinal Fluid Otorrhea. (nii.ac.jp)
- Song 2018-02-01 00:00:00 AbstractIntroduction:Spontaneous cerebrospinal fluid leakage is usually caused by developmental abnormalities and is rare, accounting for approximately 5% of the cases of cerebrospinal fluid (CSF) leakage. (deepdyve.com)
Intracranial2
- 9) Absence of Hydrocephalus in Spite of Impaired Cerebrospinal Fluid Absorption and Severe Intracranial Hypertension. (exlibris.ch)
- The results were the same when adjusted for the patient's Glasgow Coma Scale score, sex, and age, as well as for an intradural location of air, air volume, presence of cerebrospinal fluid (CSF) rhinorrhea or CSF otorrhea, radiological sign of a skull base fracture, or intracranial hemorrhage . (curehunter.com)
Suggestive of CSF otorrhoea1
- In the background of head injury, a clear colourless fluid in the ear is suggestive of CSF otorrhoea. (bioline.org.br)
Cranial4
- Ohara K, Terao T, Michishita S, Sato K, Sasaki Y, Murayama Y. Spontaneous cerebrospinal fluid otorrhea and pneumocephalus on the contralateral side of previous cranial surgery. (scientificscholar.in)
- Lateral 24-hour cranial scintigraphic image from a nuclear medicine cisternographic study in a patient with clinically evident right-sided cerebrospinal fluid rhinorrhea. (medscape.com)
- Cerebrospinal fluid is a clear, colorless fluid that circulates in the cranial and spinal subarachnoid spaces, located between the pia and arachnoid matters. (bioportfolio.com)
- It involves more commonly the cranial nerves(CN), makes cerebrospinal fluid(CSF) fistulae and leads to central nervous system(CNS) infections if the CSF fistulae are not detected or treated early and properly. (koreamed.org)
Nose5
- Fluid leaking from the nose or external auditory canal must first be positively identified as CSF. (medscape.com)
- They say that initial patient evaluation when serous discharge from the ear or nose is considered to be CSF includes analysis of the fluid discharge for the presence of beta-2 transferrin. (aao.org)
- Other possible signs include a sensation of ear fullness and difficulty hearing, and the presence of a "halo" or "double ring" sign on bedsheets or on tissue used to collect fluid draining from the nose or ear. (arupconsult.com)
- If the fluid from the nose or ear is indeed CSF, tau protein would be detected when the fluid sample was analysed. (labtestsonline.org.uk)
- Cerebrospinal fluid leakage at ears and nose, which may indicate skull fracture. (nursingcrib.com)
Arachnoid granulation1
- Herein, we examine and report a case of CSF otorrhea caused by arachnoid granulation. (bvsalud.org)
Discharge5
- Discharge of cerebrospinal fluid through the external auditory meatus or through the eustachian tube into the nasopharynx. (umassmed.edu)
- Otorrhea is discharge from the external part of the ear canal. (kidshealth.org)
- This is the name given to a condition in which the child has a continuous discharge of fluid from the outer and middle ear. (medic8.com)
- The colour and consistency of the ear discharge depends upon what has caused otorrhea. (medic8.com)
- If you (or your child) have acute otorrhea then treatment will involve your GP cleaning your ear of this discharge using a special suction device. (medic8.com)
Beta-2 transferr1
- Confirm or exclude the presence of CSF in leaking fluid by means of an immunoelectrophoretic study of the fluid for beta-2 transferrin (B2Tr) or, where available, beta-trace protein. (medscape.com)
Postoperative2
- 1] To the best of our knowledge, clival dysplasia-caused CSF rhinorrhea has never been reported in the neurosurgical field.Conclusion:Spontaneous cerebrospinal fluid rhinorrhea is often treated by surgery, and a transsphenoidal approach repair is the main surgical method used, offering the advantages of less trauma, fewer complications, rapid postoperative recovery, and low recurrence rate. (deepdyve.com)
- One patient had a return of CSF otorrhea during the postoperative period, which did not re-occur following a second repair. (bvsalud.org)
Tympanic membrane3
- Otorrhea may result from many causes, including soiling of ears with tympanostomy tubes or tympanic membrane perforations, otitis externa, cholesteatoma, and foreign bodies. (healio.com)
- A spectrum of severity of injury occurs which includes chronic tympanic membrane perforation, chronic otorrhoea, facial nerve injury and deafness. (lenus.ie)
- We present a case of drop weld injury to the left tympanic membrane, resulting in chronic middle ear inflammation, otorrhoea and tympanic perforation. (lenus.ie)
Fistulae2
- Management of unexpected cerebrospinal fluid fistulae during endoscopic sinus surgery. (biomedsearch.com)
- Lanza DC, O'Brien DA, Kennedy DW (1996) Endoscopic repair of cerebrospinal fluid fistulae and encephaloceles. (springermedizin.de)
Defect4
- One patient had persistent otorrhea after a transmastoid approach and required a middle fossa craniotomy to repair a tegmen mastoideum defect. (elsevier.com)
- Both alloplastic and autologous materials are highly successful in repairing the defect(s) responsible for CSF otorrhea. (elsevier.com)
- At admission, computed tomography (CT) imaging of the head showed enlargement of the lateral ventricles, a right mastoid fluid collection, and a defect of the superior wall of the right petrous bone. (scientificscholar.in)
- Coronal fast spin-echo T2-weighted image demonstrates herniation of meninges and brain tissue (arrows) with adjacent cerebrospinal fluid into the postmastoidectomy tegmen tympani defect. (medscape.com)
Middle ear4
- A skin graft can be placed in the middle ear to reduce the risk of mucosalization and otorrhea. (medscape.com)
- Cerebrospinal fluid otorrhea indicates a communication between the middle ear and the subarachnoid space. (merckmanuals.com)
- Otorrhoea due to either external or middle-ear pathology is often difficult to treat. (scielo.org.za)
- High-resolution computed tomography (HRCT) images can reveal developments in the inner ear, such as expansion of a vestibular cyst, unclear structure of the semicircular canal or cochlea, or signs of effusion in the middle ear or mastoid, which strongly suggest the possibility of CSF otorrhea. (bvsalud.org)
Spontaneous CSF4
- Conclusions: Spontaneous CSF otorrhea is uncommon and often not diagnosed until a myringotomy or tympanostomy tube is placed. (elsevier.com)
- 7 ] Here, we describe a unique case of a patient with delayed right-sided spontaneous CSF (sCSF) otorrhea and pneumocephalus occurring after ventriculoperitoneal (VP) shunt placement following clip ligation for a left-sided aneurysmal subarachnoid hemorrhage (SAH). (scientificscholar.in)
- Spontaneous CSF otorrhoea: review of literature. (thefreelibrary.com)
- At the time of surgery, spontaneous CSF otorrhea was encountered. (ajnr.org)
Drainage2
- Drainage from the ear, or otorrhea, is commonly encountered in pediatric practice and can present a diagnostic and therapeutic quandary to the pediatrician. (healio.com)
- Other signs of a basilar skull fracture includes CSF otorrhoea (drainage of CSF through the ear). (wikipedia.org)
Clear colourless fluid3
- He regained consciousness within 24 hours although bloody otorrhoea continued, which later turned to clear, colourless fluid. (bioline.org.br)
- The left ear showed clear colourless fluid, filling the left concha. (bioline.org.br)
- Anatomy) the clear colourless fluid in the spaces inside and around the spinal cord and brain. (thefreedictionary.com)
Tegmen tympani1
- The authors describe a case of spontaneous cerebrospinal fluid otorrhoea occuring in an adult patient with bilateral abscence of the tegmen tympani and review the literature regarding this specific. (ent-review.com)
Basilar1
- CSF otorrhoea complicates 6% - 30% of basilar skull fractures [1, 2]. (bioline.org.br)
Acute3
- Acute posttraumatic cerebrospinal fluid rhinorrhea. (medscape.com)
- There are two forms of otorrhea: acute or chronic and this can be a symptom of a serious underlying problem. (medic8.com)
- Acute otorrhea is defined as lasting for up to three weeks. (medic8.com)
Cholesteatoma1
- Cerebrospinal fluid (CSF) leakage otorrhea may be congenital or can be caused by trauma , surgery , cholesteatoma , and tumors . (bvsalud.org)
Nasal1
- This form of transferrin is present in CSF but not usually found in blood, nasal secretions, or other body fluids. (labtestsonline.org.uk)
Skull Fractures1
- A growing skull fracture (GSF) also known as a craniocerebral erosion or leptomeningeal cyst due to the usual development of a cystic mass filled with cerebrospinal fluid is a rare complication of head injury usually associated with linear skull fractures of the parietal bone in children under 3. (wikipedia.org)
Hearing impairment1
- A 40 years old male, right handed Nigerian battery charger presented to the Accident and Emergency department of our hospital with a 6 day history of watery left otorrhoea and hearing impairment following a road traffic accident. (bioline.org.br)
Ears1
- Can ears drain spinal fluid? (healthtap.com)
Chronic7
- Earlier, he was thought to have chronic otitis and in retrospect had had one episode of CSF otorrhea from his right ear and one episode of CSF rhinorrhea from his right nostril. (ajnr.org)
- The eustachian tube is often obliterated with soft tissue to reduce the risk of a chronic otorrhea. (medscape.com)
- Chronic otorrhea lasts for six weeks or longer. (medic8.com)
- But untreated or chronic ear infections are the most likely cause of otorrhea. (medic8.com)
- Chronic otorrhoea is difficult to treat, with treatment in South Africa (SA) being protocol driven and generally initiated at the primary healthcare level. (scielo.org.za)
- There is a lack of local studies that focus on the bacteriology and antimicrobial sensitivities of chronic otorrhoea, which underpins the management advice offered. (scielo.org.za)
- Although treatment is protocol driven, a PubMed search failed to reveal SA studies focusing purely on the bacteriology and antimicrobial sensitivities of chronic otorrhoea underpinning the management advice offered. (scielo.org.za)
Symptoms2
- Spontaneous cerebrospinal fluid otorrhoea in adults may present with dull symptoms such as a blocked ear or short term conductive hearing-loss. (ent-review.com)
- Sur le plan conceptuel, elle se divise en trois composants anatomiques distincts: Compression Stockings helps to relieve symptoms of venous insufficiency. (no-pasaran.mobi)
Adults1
- CONCLUSIONS: CSF otorrhea due to congenital inner ear dysplasia is more severe in children than in adults. (bvsalud.org)
Mastoidectomy1
- This patient had cerebrospinal fluid otorrhea after mastoidectomy. (medscape.com)
Secondary1
- Kou YF, Zhu VF, Kutz JW Jr, Mitchell RB & Isaacson B. Transcanal Endoscopic Management of Cerebrospinal Fluid Otorrhea Secondary to Congenital Inner Ear Malformations. (cdc.gov)
Clinical1
- 2) Quantitative Evaluations of Disturbances in Cerebrospinal Fluid Circulation with Indium-111 Cisternography: A clinical study. (exlibris.ch)
Brain and spinal cord3
- Head injury can cause leaking of cerebrospinal fluid (the fluid that surrounds the brain and spinal cord). (kidshealth.org)
- The clear fluid that fills the cavities of the brain and spinal cord, serving to lubricate the tissues and to absorb shock. (thefreedictionary.com)
- 1. A clear fluid filling the brain's ventricles and surrounding the brain and spinal cord to protect them from injury. (thefreedictionary.com)
Spinal fluid2
- That it is spinal fluid can be confirmed by any clever physician who thinks to test it for glucose . (healthtap.com)
- Also called spinal fluid . (thefreedictionary.com)