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Doctor insights on: Csf Leak Symptoms After Surgery

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I have to have skull base surgery to repair a csf leak. How long is the op and how long is recovery?

I have to have skull base surgery to repair a csf leak. How long is the op and how long is recovery?

Ask the neurosurgeon: Skull base surgery for repair of a CSF leak is a major operation with a number of factors influencing OR time and recovery. The location of the leak determines the approach the surgeon takes, which is a big factor in the length of the surgery and the recovery time. This is a question that is best addressed by your surgeon.

Cerebrospinal Fluid (Definition)

The fluid that bathes the brain and spinal cord provides an exchange pathway and balancing system for brain and spinal cord metabolism, besides a cushioning system for routine impacts of our ...Read more


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I recently has a csf leak surgery. My follow up Mri showed it was a success. Are the odds greater for me to get another leak?

Not usually: Unless you have some type of anatomical abnormality, which makes you prone to leaks of spinal fluid, such as spina bifida, it is unlikely for it to reoccur.

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Does a constant pinkish-reddish fluid coming from recent lumbar surgery wound indicate a CSF leak or something else?

Does a constant pinkish-reddish fluid coming from recent lumbar surgery wound indicate a CSF leak or something else?

Possibly: If your post surgical wound is leaking you should inform your surgeon and see them as soon as possible. It could be CSF leak or infection.

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Had ACDF surgery, have had severe headache since. Will MRI show if there is CSF leak?

Had ACDF surgery, have had severe headache since. Will MRI show if there is CSF leak?

Call surgeon: Please call the surgeon who operated on you and inform her/him rather than trying to diagnose possible post-op complication. The answering service should pick up since it is the weekend. They will contact him/her or whoever is covering. Please do this NOW. Best wishes.

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Had a runny nose mix with mucus and tear drops dripping out of 1 nostril for about month now. Had sinus surgery 8 months ago. Could it be CSF leak?

Had a runny nose mix with mucus and tear drops dripping out of 1 nostril for about month now. Had sinus surgery 8 months ago. Could it be CSF leak?

Seriously doubt it!: Your symptoms sound more like basic, run of the mill rhinorrhea - likely caused by allergies or viral illness. Let the ENT who did your surgery know your concerns and symptoms. They can examine you, help determine cause, and provide treatment to get you some relief.

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I have chiari malformation. Decompressed 2012, CSF leak surgery 2012, vp shunt 2013. Carpal tunnel result of chiari? Only small relief after surgeries

I have chiari malformation. Decompressed 2012, CSF leak surgery 2012, vp shunt 2013. Carpal tunnel result of chiari? Only small relief after surgeries

No relationship: Compression of the median nerve at the carpal tunnel has no relationship to the chiari malformation. Patients with chiari I malformation may have syringomyelia, which can cause neck and arm symptoms. However, carpal tunnel syndrome is very specific to the nerve at the wrist. Your neurosurgeon can help distinguish between the two conditions, and explain why you still have symptoms.

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Are headaches compulsory symptoms for CSF leak and meningitis?

Yes: They certainly are common symptoms, but meningitis causes high fever and mental status changes. You haven't said why you might have a CSF leak.

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Is it possible to have a CSF leak without a very hard hit to head maybe a bump enough to get symptoms of a concussion wasn't knocked out drip and ear?

Is it possible to have a CSF leak without a very hard hit to head maybe a bump enough to get symptoms of a concussion wasn't knocked out drip and ear?

Absolutely. See MD.: Your symptoms sound like you may be experiencing a CSF leak. A bump placed at just the critical place with just the critical force may be all that is needed. Please see your doctor for a full H&P, diagnosis, and treatment. If you do have a CSF leak, you may need to be on bedrest with a lumbar drain until your CSF leak heals. Otherwise, surgery may be necessary. Best wishes for a full recovery.

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Is ejaculation safe with a CSF leak?

Csf leak: In the setting of CSF leak, you want to avoid anything that can increase the intracranial pressure like coughing, sneezing, and ejaculation.

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What to do if a very small intermittent csf leak can't be detected on a cisternogram?

Unlikely: Why are you asking this question. What are your symptoms and why was the cisternogram done. If it was done discuss the findings with your doctor. It is unlikely that they will miss a csf leak on cisternogram

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Been told if cannot locate slow intermittent csf leak on cisternogram doesn't mean I don't have one. Wat do I do next if this is the case???

CSF leak diagnosis: Intraspinal injection of radio opaque contrast such as a delayed iohexol CT can help localize a CSF leak, Also intraspinal injection of gadolinium and then delayed MRI of the suspected area can also show areas of CSF leak.

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Can any conditions besides a CSF leak cause a positional headache? I'm fine while lying down, and I have a constant (mild) headache while standing.

See a physician: I would see a physician. If your symptoms fit the diagnosis. He could order an MRI of the brain or a myelogram to see if there is evidence of a leak. Caffiene or steriods will help the headache.

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Going in tomorrow for cisternogram to locate slow intermittent csf leak. Any info on what will happen, how long it will take, will they defo find leak?

Going in tomorrow for cisternogram to locate slow intermittent csf leak. Any info on what will happen, how long it will take, will they defo find leak?

A cisternogram: Is a radionuclide test done in Nuclear Medicine Dept. It begins with a lumbar puncture when, while you lie on your side, a doctor inserts a needle between your vertebrae into the subarachnoid space where CSF is. Little pain. A tracer is injected. You stay lying down for at least an hour. Then, taken to imaging for up to an hour. Return 2-6, maybe 24, 48, even 72 hrs later for 1 hr. Scan. Accurate

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Does CSF leak cause nausea?

It can.: A CSF can cause nausea. The most common symptom is severe positional headaches.

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Please tell me, could a meningitis from CSF leak contagious?

No: If a patient has meningitis from a CSF leak the organisms involved are skin organisms found on all of us. Non-infectious.

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What causes an intermittent csf leak to stop and start leaking?

Depends.: That depends what on the cause and location of the csf leak. I am available for consultation if you need to discuss further.

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I am concerned I may have a CSF leak. What are the most common signs?

Headache: Most come sign is headache, which gets worse while standing throughout the day, and then goes away when the patient is recumbent. Patients can progress to cranial nerve deficient, degree consciousness, and coma.

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Can a menigitis from CSF leak contagious?

Can a menigitis from CSF leak contagious?

No: A CSF leak would allow for the entrance of bacteria to the cerebral spinal fluid. It is not contagious.

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Csf (Definition)

Cerebrospinal fluid is the clear colorless fluid produced in the choroid plexus in the brain, and acts as a cushion or a buffer for the ...Read more