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CSF Rhinorrhea

CSF Rhinorrhea or Cerebrospinal Fluid Leak Treatment

CSF Rhinorrhea or Cerebrospinal Fluid Leak is a rare condition in which the fluid that normally surrounds and protects the spinal cord  and brain leaks and runs from the nose and sinuses. The fluid may leak continuously or may stop on its own. The main complaint of people affected with CSF Rhinorrhea is a very watery & runny nose.

csf rhinorrhea treatment in new delhi, uttar pradesh

Classification & Causes of CSF Rhinorrhea

  • Traumatic CSF Rhinorrhea: Penetrating and closed-head trauma to the bones of the face and skull causes traumatic CSF Rhinorrhea.

  • Iatrogenic CSF Rhinorrhea: Iatrogenic causes include the following:

    • Neurosurgical  procedures like craniotomy and trans-sphenoidal pituitary resections

    • Otolaryngologic approaches to neoplastic disease

    • Functional  endoscopic  sinus surgery

    • Septoplasty

  • Spontaneous/idiopathic: The causes of spontaneous or idiopathic CSF Rhinorrhea are:

    • Elevations in intracranial pressure (ICP)

    • Congenital skull base defects

    • Certain tumors

  • Congenital CSF Rhinorrhea: Any abnormality in the central nervous system or tissue that is present by birth can cause CSF Rhinorrhea.

Symptoms of CSF Rhinorrhea

CSF Rhinorrhea is a risky condition and need immediate medical care. Its symptoms may depend upon the size and severity of the fluid leak. Symptoms of CSF Rhinorrhea may include the following:

  • Salty taste and a sense of clear and watery drainage in the throat or in only one side of the nose or one ear

  • Positional headache: a headache that is worse when upright and improved when positioned horizontally

  • Nausea and vomiting

  • Neck pain or stiffness

  • Change in vision or taste

  • Dizziness

  • Ringing in the ears

  • Hearing loss

  • Pain or numbness at various nerve root levels

  • Worsening of symptoms on bending over, straining or during increased activity

Diagnosis of CSF Rhinorrhea

The diagnosis of CSF Rhinorrhea requires complete physical examination of the patient, history of the disease and following tests:

  • Smell Identification Test

  • Endoscopy of nose

  • MRI and / or CT Cisternography

  • Laboratory test on nasal drainage ( Sugar and B-2 transferrin assay)

  • Radioactive pledget scanning

  • Intrathecal flourescein etc.

Why is it important to get CSF Rhinorrhea diagnosed and treated?

A Neurosurgeon who is well versed with Endoscopic surgery is the best person to diagnose as well as treat CSF Rhinorrhea. It should be dealt promptly as CSF Rhinorrhea can be a reason to develop meningitis i.e. infection to the lining of the brain. So to avoid the risks and complications of CSF Rhinorrhea, it should be managed properly and timely.

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Authored By Dr. Manish Vaish

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