![]() In addition, there are so-called "false-localizing signs", i.e. It is precisely at this point that many examinations in other clinics fail, since conventional examinations usually conceal the leak. The most challenging part is actually finding this tiny tear and localizing it to the millimeter throughout the spine. the defect in the dura from which the CSF escapes? The second question is even more important: Where exactly is the CSF fistula located, i.e. In this way, one knows with relative certainty that CSF is really draining. If direct detection is not possible, the diagnosis can be confirmed indirectly using other methods, such as ultrasound of the optic nerve or measurement of the outflow resistance of the CSF. In addition to conventional myelography, a combination with myelo-computed tomography (myelo-CT) is also possible. a radiological contrast image of the spinal canal, is performed. If the findings are negative, a myelography, i.e. This is usually done by magnetic resonance imaging (MRI). This first needs to be confirmed with certainty. ![]() Visit the Kessler Health Education Library in the Bretholtz Center to access computers and knowledgeable staff.Īccess a complete directory of patient and family services.The initial question is: Is cerebrospinal fluid actually leaking through a crack in the dura? Learn more about other disorders of the ear, nose and throat in our health library. Otolaryngology-Head and Neck Surgery Locations. ![]() Request Otolaryngology-Head and Neck Surgery Appointment.Our Otolaryngology-Head and Neck Surgery Team.Otolaryngology-Head and Neck Surgery Appointments and Locations In addition, patients have full access to BWH’s world-renowned academic medical community, with its diverse specialists, and state-of-the-art facilities. Multidisciplinary Careīrigham and Women’s Hospital provides a multidisciplinary approach to patient care by collaborating with colleagues who have extensive experience in diagnosing and treating ear, nose and throat disorders and conditions. Learn more about your hospital stay, patient-centered care and returning home. After surgery, you will go to the post-surgical care unit where you will receive comprehensive care by experienced surgical and nursing staff. The day of surgery, you will be taken care of in the operating room by otolaryngologist, anesthesiologists and nurses who specialize in surgery for patients with cerebrospinal fluid rhinorrhea. If you are having surgery or a procedure, you will likely be scheduled for a visit to the Weiner Center for Preoperative Evaluation for pre-operative information and tests. Careful monitoring and the involvement of an experienced otolaryngologist are important to the successful outcome for patients with ear, nose and throat disorders and conditions. You will receive a thorough diagnostic examination to evaluate if you have cerebrospinal fluid rhinorrhea and determine what course of treatment is needed. The prognosis for a full recovery is excellent. A trans-nasal endoscopic repair of a CSF leak is less invasive than traditional surgical approaches through the skull and has a high success rate when performed by experienced specialists with endoscopic expertise, including those at BWH. Modern imaging and endoscopic techniques have improved the ability to diagnose, localize and treat CSF leaks. ![]() Increased fluids and pain relievers are also helpful to control symptoms.īecause CSF rhinorrhea is potentially a serious condition, surgery is sometimes needed to repair this leak. Observation in the hospital, head of bed elevation or complete bed rest for several days is usually recommended. Treatment for Cerebrospinal Fluid Rhinorrhea
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