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Traumatic CSF rhinorrhoea is the most common type of CSF rhinorrhoea. [1] It may be due to severe head injury, or from complications from neurosurgery. [1] Spontaneous CSF rhinorrhoea is the most common acquired defect in the skull base bones (anterior cranial fossa) causing spontaneous nasal liquorrhea.
Non-traumatic rhinorrhea is a challenge in diagnosis and choice of surgical approach. Of importance to successful surgical outcome is the demonstration of fistula. Within the non-traumatic category, CSF rhinorrhea occurring with primary empty sella (PES) was first reported by Ommaya. [24]
Cerebrospinal fluid (CSF) is a clear, colorless body fluid found within the tissue that surrounds the brain and spinal cord of all vertebrates. CSF is produced by specialised ependymal cells in the choroid plexus of the ventricles of the brain, and absorbed in the arachnoid granulations .
A cerebrospinal fluid (CSF) leak occurs in about 20% of cases and may result in fluid leaking from the nose or ear. [1] Meningitis occurs in about 14% of cases. [2] Other complications include injuries to the cranial nerves or blood vessels. [1] A basilar skull fracture typically requires a significant degree of trauma to occur. [1]
Rhinorrhea (American English), also spelled rhinorrhoea or rhinorrhœa (British English), or informally runny nose is the free discharge of a thin mucus fluid from the nose; [1] it is a common condition.
MeSH C10.900.300.131 – cerebrospinal fluid otorrhea MeSH C10.900.300.153 – cerebrospinal fluid rhinorrhea MeSH C10.900.300.175 – coma, post-head injury
Any CSF leak is most often characterized by orthostatic headaches, which worsen when standing, and improve when lying down. Other symptoms can include neck pain or stiffness, nausea, vomiting, dizziness, fatigue, and a metallic taste in the mouth. A CT myelography scan can identify the site of a cerebrospinal fluid leakage.
Basilar fractures have characteristic signs: blood in the sinuses; cerebrospinal fluid rhinorrhea (CSF leaking from the nose) or from the ears (cerebrospinal fluid otorrhea); periorbital ecchymosis often called 'raccoon eyes' [7] (bruising of the orbits of the eyes that result from blood collecting there as it leaks from the fracture site); and ...