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Doctor insights on: Ct Guided Csf Leak Repair

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What is the definition or description of: ct-guided CSF leak repair?

What is the definition or description of: ct-guided CSF leak repair?

Fix a flat: A ct guided CSF leak repair indicates that
for some reason- recent surgery on the brain or spine, or a recent epidural or lumbar puncture-there was a persistant loss of cerebrospinal fluid at the site. Typically, the repair of such a leak is accomplished by injecting a small amount of blood drawn from the patient at the site of puncture to form a clot to seal the leak. ...Read more

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Dr. Milroy Samuel
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Computed Tomography (Definition)

Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! The image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more


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Will a ENT always need a CT scan to address a CSF leak?

Probably: Depends on symptoms or signs. You should see them first in case they can diagnose another reason. You may need a special ct scan where they inject a unique dye into your CSF compartment via your back. Ent will need to localize the location (ie ear/sinus/side) and size of the defect to assess what to do. Still there may be other reasons for your symptoms such as a hematoma or other sources. See ent ...Read more

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"Short fluid level in the maxillary sinus" on CT of brain. Could this point to a CSF leak? I had chronic post nasal drip and sinus issues for years.

"Short fluid level in the maxillary sinus" on CT of brain. Could this point to a CSF leak? I had chronic post nasal drip and sinus issues for years.

Much more likely: That your chronic inflammation of the sinus has blocked drainage & caused mucus to be retained in your maxillary sinuses. Seek evaluation by an ENT specialist. This would not necessarily explain your unwanted weight loss, especially if the fluid is not chronically infected. ...Read more

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Sutures from Lumbar CSF Leak Repair removed yesterday...it's ~2" long & bottom goes into top of gluteal cleft. Base looks like it's opening despite Steri Strips & Butterfly Closures. What can I do?

You should call your: Surgeon for guidance but sometimes a wound can spread in spite of that type of closure if there is strain on the wound. As long as there is no drainage or reddening of the wound or any increasing pain, fevers, chills or sweats-it should be ok but check with your surgeon just to make sure. ...Read more

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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?

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

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During a minimally invasive micro discectomy a CSF leak occurred & repaired should I have been sent home the same day?

Probably: CSF leak is a not uncommon occurrence during microdiscectomy. When this happens, every effort is made at the time of surgery to repair the dural opening and prevent leakage. If CSF leakage through the incision occurs, this should be resutured, and sometimes a reoperation is necessary. The leak usually doesn't occur for several days, however, so there is no advantage to keeping the patient. ...Read more

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Hi I'm waiting an op for csf leak repair. I have one surgeon saying do the op and another saying don't coz of risk of losing taste! Confused?

Hi I'm waiting an op for csf leak repair. I have one surgeon saying do the op and another saying don't coz of risk of losing taste! Confused?

Always difficult: This is a contraversial subject, hence why you will find differences in opinions. This is be just as frustrating for the doctors treating you as it can be for the patient. There is no right/wrong answer. Second and third opinions are sometimes needed. ...Read more

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

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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Would a regular doctor be able to determine if I had an CSF leak?

Would a regular doctor be able to determine if I had an CSF leak?

Indirectly: A competent primary care or "regular" doctor can certainly recognize the risk factors and associated symptoms of a CSF leak. The most common symptom is headache that is worse when standing. Most of the time this leak is from trauma to the meninges (the outer lining of the brain and spinal cord). When you see your doctor, let them know of your concerns. ...Read more

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Is it possible to have a CSF leak from a tooth extraction?

I don't see how: I honestly don't see how the two can be related in any way whatsoever, nor have I even heard of this as a possibilty in over 40 years of dental practice. ...Read more

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Will a cisternogram provoke an intermittent csf leak with head being tilted down? My doc wants to do1to locate leak as I've had meningitis twice.

Leak: I do not believe that the cisternogram will cause you any problems if the doctor feels it is now it is necessary I would suggest you go ahead and have it done ...Read more

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Five weeks post laminectomy to remove schwannoma tumor at L4 and CSF leak, now better, what causes intense pressure headache when bending forward?

Your Neurosurgeon ca: Ask your neurosurgeon to help you and guide you further. Spinal fluid (CSF) leaks are known to cause Headaches because of spinal fluid pressure changes. If the CSF leak stops completely, it is likely that your headaches will stop. Drink extra fluids in the meantime. ...Read more

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Had meningitis, docs guess from bad sinuses. Had few cat scans after recovery, would that show if it was actually a csf leak that caused meningitis?

Rare event: Bad sinusitis does not just evolve into csf leak, BUT, if it were to happen, there are other more practical ways that involve dyes and MRI or CT scan that could diagnose this ...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


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