Doctor insights on:
Gm Csf Allergy In Children
I have noticed my nose dripping water lately, especially when bending over in yoga. It is clear, like tears, around 1/4 tsp. Allergies or csf?
CSF leaks R uncommon: Allergies seem much more likely.Get a more detailed answer ›
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
Cushingoid face swelling this week. No allergy/infection. Have CSF shunt leak- collect there? Or Afrin (oxymetazoline) strong enough steroid? NSAIDs ineffective. Way to treat?
Cushingoid: Chronic steroid use will cause a Cushing type face. A leaking CSF shunt will lead to a focal swelling under the skin and not around the whole face. Steroid therapy is required when other anti inflammatory medications are not sufficient. Talk to your medical doctor about the best medications for you and ask what are the alternatives. ...Read more
Every time I bend over, for the past year, and following a lumbar puncture, I hear a loud thump of fluid in one ear. Do I have a CSF leak? It's not sinus or allergy related I've ruled that out.
53 yr-old woman developed disabling neurological pains and paresthesias this past year after an LP, felt to be acrachnoiditis plus had nasal CSF.....?
Not knowing from: Where you're contacting Health Tap, it wouldn't be practical to give you a referral, if that is indeed what you want. Whoever performed the nasal patch may be better able to guide you to appropriate specialists. Generally, university settings have specialists whose main focus is more narrow than those in community hospital systems. Best wishes! ...Read more
50 year-old woman, still has high cortisol levels, despite a pituitary hypophysectomy last year that resulted from evaluation of her high BP.....?
Cushings: Cushings is a complicated problem. You have had excellent care, but it does appear that the hypophysectomy was not totally successful. Consult your endocrinoligist. You will need repeat ACTH levels and another suppression test to decide on further possible therapy ...Read more
Talk to doctor: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. If the doctor who ordered the test is not able to interpret it, it would be useful to talk to the pathologist of the lab that did the tests. ...Read more
It depends on what the spinal tap is being done for. If it's to see if there is meningitis, than cultures are done as well as analyzing the cells and even rapid bacterial testing kind of like strep testing.
If it's for multiple sclerosis or other neurological conditons, than completely different studies are done.
If the person is HIV (+) than even different studies are done. ...Read more
Many causes: CSF protein results can be high in many conditions. It is best to interpret the results in the context of all the other results of CSF fluid analysis. Some causes are viral meningitis, demyelinatinfg diseases, diabetes, brain abscess, syphillis, brain tumor, alcoholism, and epilepsy ...Read more
Can't say: Specifically without more information or viewing the images, but it is likely referring to mass effect due to the downward displacement of the cerebellar tonsils through the foramen magnum seen in Chiari 1. Normally csf surrounds the cervical cord, the cerebellar tonsils in Chiari occupy this space and "efface" the csf space., so this can create an obstruction to normal csf flow or press on cord. ...Read more
Dangerous: Any leak of CSF after a trauma to the head (which I assume you are implying by concussion) can be dangerous as this represents a significant disruption of the protective barrier surrounding the brain. This can allow bacteria in and cause a life threatening infection (meningitis). If you believe you have a CSF leak you should seek immediate medical attention. ...Read more
Numbers/pattern: In any meningitis you expect to see white blood cells. With viral they are relatively few and mostly lymphocytes. With bacterial you see lots, to the point the usually watery clear CSF can look like milk, and the WBC's are mostly polymorphonuclear cells. Bacteria eat the glucose so the value is low, viruses do not so it stays normal. With bacterial you can see them with stains, virus, not. ...Read more