csf rhinorrhea investigation of choice

[Medline]. Kevin C Welch, MD Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Northwestern University, The Feinberg School of Medicine Kreatsoulas DC, Shah VS, Otto BA, Carrau RL, Prevedello DM, Hardesty DA. Nadieska Caballero, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Rhinologic SocietyDisclosure: Nothing to disclose. 2017 Oct. 2 (5):215-24. Obstructive sleep apnea in patients undergoing endoscopic surgical repair of cerebrospinal fluid rhinorrhea.

2015 Apr 28. 22(4):718-20. 0 Composite picture shows the exact site of leakage into the ethmoids. Makary CA, Zalzal HG, Ramadan J, Ramadan HH. 0000044414 00000 n High-resolution computed tomography and magnetic resonance cisternography are complementary to each other and are the investigation of choice. �����ɉ���>B� G�& ���fR��=d�l��ݨu��F?����5�q� K����&a�I—�;��F��c��CO�.\™f�s�)-�\d�$7 (Bottom) Coronal CT shows thinning and a fluid-like density in the ethmoids. 0000036500 00000 n Please confirm that you would like to log out of Medscape. Fleischman GM, Ambrose EC, Rawal RB, et al. CSF leaks . Surgical repair of spontaneous cerebrospinal fluid (CSF) leaks: A systematic review. This image represents an endoscopic view with a 70-degree telescope through the left frontal recess. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea and skull base defects: a review of twenty-nine cases. A small cribriform plate encephalocele is observed only after removing the middle turbinate. Epub 2011 Feb 17. 2015 May. Background The association between spontaneous cerebrospinal fluid (CSF) leak/rhinorrhea and idiopathic intracranial hypertension (IIH) has been increasingly recognized over the last years. Teachey W, Grayson J, Cho DY, Riley KO, Woodworth BA. 0000006031 00000 n of choice for the investigation of patients with CSF rhinorrhea. 0000026648 00000 n Lanny Garth Close, MD is a member of the following medical societies: Alpha Omega Alpha, American Head and Neck Society, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physicians, American Laryngological Association, New York Academy of MedicineDisclosure: Nothing to disclose. We thus recommend this technique as the primary diagnostic method of choice for the investigation of patients with CSF rhinorrhea. NLM Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug ReferenceDisclosure: Received salary from Medscape for employment. 0000026720 00000 n [Medline]. Dodson EE, Gross CW, Swerdloff JL, et al. Laryngoscope.

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Head and Neck SocietyDisclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Cerescan;RxRevu;Cliexa;The Physicians Edge;Sync-n-Scale;mCharts
Received income in an amount equal to or greater than $250 from: The Physicians Edge, Cliexa;Proforma;Neosoma
Received stock from RxRevu; Received ownership interest from Cerescan for consulting; . Cerebrospinal fluid fistula: clinical aspects, techniques of localization, and methods of closure. 1994 Nov. 111(5):600-5. The sensitivity of HRCT was 88.25%. Vemuri NV, Karanam LSP, Manchikanti V, Dandamudi S, Puvvada SK, Vemuri VK. In Patients with Unexplained Non-Epidemic Recurrent Meningitis a Direct Communication between the Subarachnoid Space and the Outside Must Be Sough. Intervention for elevated intracranial pressure improves success rate after repair of spontaneous cerebrospinal fluid leaks. Is acetazolamide really useful in the management of traumatic cerebrospinal fluid rhinorrhea?. [Medline]. [Medline]. Int Forum Allergy Rhinol. High-resolution CT (HRCT) provides good bony details, but fluid is poorly detected. endstream endobj 23 0 obj<> endobj 24 0 obj<> endobj 25 0 obj<>stream 0000005919 00000 n BMJ Case Rep. 2013 Dec 9;2013:bcr2013202216. [Medline]. Cases with persistent CSF rhinorrhea need definitive intervention. 0000033526 00000 n

startxref [Medline]. CSF rhinorrhoea: the place of endoscopic sinus surgery. Neurosurgery. A retrospective study of patients who presented in our unit with CSF rhinorrhea �� 9$| CT scans may demonstrate skull base defects resulting from accidental or iatrogenic trauma, an underlying anatomic or developmental abnormality, or an erosive lesion such as a neoplasm. [Medline]. AJNR Am J Neuroradiol. Br J Neurosurg. J Int Adv Otol. The standard diagnostic technique is computed tomography (CT) cisternography. Beta2-transferrin assay is currently single best laboratory test for identifying the presence of CSF in sinonasal fluid. Lanny Garth Close, MD Chair, Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons 2020 Apr 10. The risk of meningitis with untreated CSF rhinorrhea has also been reported to range from 23% to 60% (1,3,4). Fraser JF, Nyquist GG, Moore N, Anand VK, Schwartz TH. CSF rhinorrhea refers to a symptom of cerebrospinal fluid (CSF) leakage extracranially into the paranasal sinuses, thence into the nasal cavity, and exiting via the anterior nares. Ear Nose Throat J. Shetty PG, Shroff MM, Sahani DV, Kirtane MV.

[Medline]. Managing cerebrospinal fluid rhinorrhea after lateral skull base surgery via endoscopic endonasal eustachian tube closure.

[Medline]. 2010 Sep. 67(3 Suppl Operative):ons150-8; discussion ons158.

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