Doctor insights on:
Fluid opacification seen within the visualized left sphenoid sinus. Should I be concerned that I am leaking CSF again and have it checked?
Possible: It is possible, though the most common cause is sinus congestion caused by allergy or URI ...Read more
Good question: Why would you suspect a CSF leak? Trauma? History of recurrent meningitis? Recent surgery? These leaks aren't very common. That said, you can see an ENT who can send off this fluid to be tested for beta2-transferrin. The test can answer that question for you. May also order ct imaging. ...Read more
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
How do you know if you're leaking CSF? I had some clr liquid running suddenly from my right nostril when I was leaning forward. Head hot, eyes/ears hurt.
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
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???
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 ...Read more
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
Leak: They are not usually relatedGet a more detailed answer ›
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
How would I know if I had a CSF leak its been 6 weeks I've just had a constant drip but I had mono during that time?
Assess drainage: If you are concerned about CSF leaking from your nose, go to the ER where they can analyze the fluid. CSF contains glucose and the drainage from a cold does not. CSF draining from your nose can be dangerous and a leak in this area can cause meningitis. This is an emergency. ...Read more
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