Doctor insights on:
Symptoms Of A Csf Leak
CSF leak following labor epidural. Blood patch resolved spinal headache, but now have other concerns(pressure at base of skull, lightheaded, no appetite).What tests to determine if CSF leak continues?
Not any: MRI can occasionally pick up continuing leak. Usually based on symptoms. If you have continuing positional headache that makes the diagnosis of CSF leak. Sometimes it takes a few days for CSF pressures to stabilize and to feel normal: especially after having a baby with all the disruptions in sleep, your physiology etc that that brings ...Read moreSee 1 more doctor answer
Skull base defect: You need to see an otolaryngologist. You may need a ct scan and MRI scan. An audiogram may be ordered. The leakage can come from the skull base around the nose or the ear. This can be due to trauma, an encephalocele, prior surgery, etc. An untreated leak can cause meningitis. ...Read more
Mainly headaches: There are a many symptoms that a person can feel if a VP shunt is not draining fluid properly or "underdraining" though many of these symptoms can occur in both under as well as "overdraining" so one really doesn't know exactly which situation they're in from a clinical perspective. I could supply much more information to you if you can send me more details. Write to: www.healthtap.com/drsaghafi ...Read more
Not Drops: When collecting fluid during a lumbar puncture, we don't exactly count drops of fluid. Rather, we count CCs (cubic centimenters). Typically there are 4 tubes. We collect only 1-2 cc in the first and 2-6 in the rest. The amount collected depends on the purpose of the lumbar puncture. Decreasing fluid pressure, having enough fluid for many lab tests are 2 reasons to draw off larger amounts. ...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
Leaking spinal fluid: Cerebrospinal fluid (CSF) is the fluid that surrounds and cushions the brain and spinal cord. Rhinorrhea is a runny nose. Nerves from the front of the brain (olfactory nerves) descend through a thin layer of bone called the cribriform plate and into the nasal cavity so you can smell. If that layer of bone is fractured, spinal fluid can leak down from the brain and out the nose. CSF rhinorrhea. ...Read more
"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
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
Possibly: A brain cyst is normally benign fluid collection that grows and may put pressure on surrounding brain and affecting function. Could cause herniation which is bad. Treatment could consist of a shunt which would drain fluid into another portion of body that would allow for absorption of of the brain fluid and allow nl protected brain function and growth. ...Read more
Depends: Tumor in the bone can present with just pain. However if it causes compression of the spinal cord or nerves it can present with paralysis, weakness, altered sensation, bowel/bladder incontinence etc. So basically depends on location along spinal column and whether or not it causes nerve or cord compression. ...Read more
A recent mri showed cerebellar tonsillar ectopia up to 12 mm, does this along with having a lot of the symptoms of chiari mean that chiari is likely?
What are the complications of having a lumbar puncture (spinal tap) to check for bacterial meningitis?
Sudden shock, death.: Afe is an extremely rare but typically lethal complication of late pregnancy. Usually it is unheralded and manifests with complete cardiovascular collapse requiring immediate advanced cardiac life support to avoid rapid death from bleeding and asystole. If the woman is still pregnant, stat delivery may help preserve the fetal life/brain. ...Read moreSee 1 more doctor answer
Where does a doctor puncture spinal cord to draw cerebrospinal fluid if brain a person has a brain infection?
Varies: The symptoms may vary depending on the type of bleed. The most dramatic are bleeds from aneurysms in which the classic symptom is the sudden severe "worst headache of one's life". These may be coma producing. The intracerebral hemorrhage or hemorrhagic stroke frequently presents with sudden onset of neurological deficits like weakness on one side, speech problems, or altered level of consciousness. ...Read more
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