Doctor insights on:
How Do You Treat Csf Otorrhea
It depends: It depends on the cause- basilar skull fracture, recent surgery, congenital, inner ear disease or rarely spontaneously. Also implied is a perforated ear drum allowing the leaking CSF to exit the middle ear into the external ear canal or eustachian tube. Meningitis must be identified if present. Treatment could involve antibiotics, diuretics, steroids or surgery. ...Read more
Shunt placement: True symptomatic hydrocephalus is treated by draining the ventricles through a small tube. A neurosurgeon preforms this by making a small hole in the skull and passing a thin tube into the lateral ventrical of the brain. This tube is then passed downward under the skin into the abdominal cavity where it allows the cerebral spinal fluid flow from the ventricals. ...Read more
Need more info...: Why do you think you have spermatorrhea, and how long have you observed it? Do you refer to a huge volume of ejaculated semen or "excessive" amount of so-called precum or constantly leaking something or...? Without further specifics of these+exam+testing, it is hard to tell why. However, something can be done correctly by following info in articles in http://www.formefirst.com/onDealSickness.html. ...Read more
Surgery or nothing: These are treated with surgery on the base of the skull and sometimes the dura covering the brain and/or the upper cervical vertebrae. Each surgery is tailored to the individual depending on their symptoms and severity of the chiari malformation. The alternative for many chiari malformations is no surgery and no treatment. Many people require no intervention at all. ...Read moreSee 1 more doctor answer
Depends: There are many types of ear infection requiring different strategies. The main symptom is pain and therefore painkillers are usually given. Tylenol (acetaminophen) or Advil are the usual ones used. If it is an external ear infection ( of the ear canal) then usually antibiotic ear drops in addition suffices. In middle ear infections oral antibiotics may be required. Best judge is the examining physician. ...Read more
Otosclerosis: Besides doing nothing since it is not a life threatening condition, treatment is either with a hearing aid or with surgery called a stapedectomy. This is done as an outpatient procedure under local anesthetic and takes about 30 minutes, and is highly successful in improving hearing. ...Read moreSee 1 more doctor answer
Conjunctival cyst: Depending on the size. A small conj. Cyst can be removed by incising with a small needle and is painless. A larger one may need to be incised and the entire cyst sack be removed. This takes a little longer, but with the right drops and possibly a small injection of Lidocaine is painless also. ...Read moreSee 1 more doctor answer
Too vague: Bulging disks are natural. We as surgeons do not treat bulging disks unless they are causing nerve irritation. In these cases we start with therapy, and progress treatment depending on response. The most invasive treatment is disk decompression which is surgical. I would suggest you see a spine specialist if you have a specific spine or nerve complaint. ...Read more
Depends on the cause: Vertigo is a symptom of an inner ear condition, sometimes during or following a viral infection, but there are several other causes. Often vertigo occurs with self-limiting conditions that require no specific treatment. But, if it continues to recur, it should be evaluated by a doctor to determine the cause. http://www.webmd.com/brain/vertigo-symptoms-causes-treatment#1 ...Read more
CSF tests, imaging: While there are certain blood test results or MRI findings that raise the suspicion for infection, a definitive diagnosis often requires a lumbar puncture for analysis of cerebrospinal fluid. That being said, in many cases we will treat infections empirically just based on clinical suspicion, especially if the patient is presenting with seizures or other worrisome signs. ...Read moreSee 1 more doctor answer
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