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Doctor insights on: Csf Leaks 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. ...Read more

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. ...Read more

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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. ...Read more

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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. ...Read more

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Had surgery on a pilondial cyst 2yrs ago. Since then I've had IBS and wound leakage. It leaks a lot when I need to pass bowel mov't. Leaking CSF?

Pilonidal cyst: Hi~ leaking CSF from a pilonidal cyst removal? Was the Surgeon a licensed First World practitioner? If this was CSF you have to go right thru the sacrum to get to the theca of the spinal canal. So if you can sit probably not. Lets hope not. Pilonidals are removed and left to close slowly with granulation tissue over 6 -8 weeks. So you probably have chronic fistula. Go back&see Surgeon to fix it tx ...Read more

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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. ...Read more

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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. ...Read more

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After 2 decompression surgeries for Chiari I malformation and 2 more for CSF leaks I now have a damaged Vagus nerve. Can this be repaired?

After 2 decompression surgeries for Chiari I malformation and 2 more for CSF leaks I now have a damaged Vagus nerve. Can this be repaired?

Depends how damaged: A neurologist who specializes in this or neurosurgeon can answer this, sometimes if not completely cut can regenerate a little or if dinged can come back more ...Read more

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If csf was found in my nasal fluid sample, what would be the next step? Surgery?

Not necessarily: You are getting ahead of yourself. Spontaneous CSF leak from the nose is rare and rare diagnoses are rarely correct. You may consult this site for information on this topic: https://medlineplus. Gov/ency/article/001068.htm ...Read more

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Does it require surgery if there is no CSF with indent of ventral thecal sac on c-5/c-6?

Does it require surgery if there is no CSF with indent of ventral thecal sac on c-5/c-6?

Risk mitigation: If only the thecal sac is indented and spinal cord not compressed, surgery would be an extreme remedy, but the description suggests that disc is close, and if symptoms progress, may need surgery. Handle conservatively at first, but see what a spinal surgeon opines. ...Read more

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Disc protrusion T8-T9 - flattening of cord with little CSF around cord. Having marked changes to gait, very unsteady on feet. Neuro next. Surgery?

Disc protrusion T8-T9 - flattening of cord with little CSF around cord. Having marked changes to gait, very unsteady on feet. Neuro next. Surgery?

Likely need surgery: It sounds like you have spinal cord compression resulting in myelopathy from your T8/9 disc protrusion. This would likely need to be treated with surgical decompression. You should be evaluated by a Neurosurgeon or Orthopedic spine surgeon as soon as possible. ...Read more

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When I'm congested on one side of the nose, I get watery drips that come out of the nostril that's not mucus. Could it be csf? Had sinus surgery 1 yr.

When I'm congested on one side of the nose, I get watery drips that come out of the nostril that's not mucus. Could it be csf? Had sinus surgery 1 yr.

Need more info: See your surgeon who can test for this easily. What type of sinus surgery did you have? Any complications following surgery? Do you have any ongoing headaches? What makes you suspect CSF leakage? Most people undergoing sinus surgery don't have many complications involving CSF leakages, unless you had a complex surgery involving your sphenoidal, frontal or ethmoid sinuses close to the brain. ...Read more

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MRI result: smooth reversal of cervical lordosis. Minor disc osteophyte bulge is effacing the CSF anterior to the cord C5-C6. Would I require surgery?

No surgery: Straightening of cervical spine can be due to muscle spasm from whiplash, but can also be a normal finding. Osteophytes are the result of spine degeneration and usually do not need surgical correction. Effacement of the CSF anterior to the cervical cord is usually benign and asymptomatic. ...Read more

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Had Laminectomy at L-3 in May 2016, post surgery numbness of right leg from waist to toes, surgeon knicked dura during surgery with CSF leakage.

Had Laminectomy at L-3 in May 2016, post surgery numbness of right leg from waist to toes, surgeon knicked dura during surgery with CSF leakage.

See a neurologist: This is more than just a nicked dura. This is nerve root damage. You need a careful neurologic exam and possible reimaging & electrodiagnostic testing. Do not rely on Doctor Google for an answer. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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What is the typical hospital stay if a CSF leak occurred from a. Microdiscetomy?

What is the typical hospital stay if a CSF leak occurred from a. Microdiscetomy?

Spinal fluid leak: If fluid is leaking through the skin, I usually recommend wound exploration and closure of the leak. This may require hospitalization for two to three days. If the leak is contained, bed rest and fluids will resolve most symptoms in one to two weeks. Hospitalization is usually reserved for persistent headache and dehydration requiring IV fluids. ...Read more

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Is it possible for CSF to leak from the ear?

generally not: Not as a rule but can be generally diagnosed by either an ENT or neurologist. ...Read more

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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. ...Read more

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Am o at risk of meningitis with a supposed healed csf leak?

Depends.: If the leak is exposed to the outside environment or to cavities that have bacteria sitting there, then yes you are and will need the leak treated immediately. Go to your ER if this is the case. ...Read more

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How common are spontaneous CSF leaks in IIH patients? Thank you for your help.

It happens rarely: Spontaneous CSF leaks requiring repair occur in 1-2 per million people/yr (https://www. Ncbi. Nlm. Nih. Gov/pubmed/25111523), many of these patients turn out to have idiopathic intracranial hypertension (IIH). ; IIH occurs 28/100, 000/yr (http://jnnp. Bmj. Com/content/87/9/982), which suggests less than 0.7% of people with IIH will need a repair of a spontaneous CSF leak. ...Read more

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If an intermittent csf leak has healed am I still at risk of contracting meningitis?

If an intermittent csf leak has healed am I still at risk of contracting meningitis?

No: If leak is resolved, then risk of meningitis would be the same as other indiviiduals with same exposures and immune function as you. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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