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csf leaks after opituitary surgery
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csf leaks after opituitary surgery

Is there a way to tell the difference between expected discharge and CSF leaks after a transphenoidal removal of a microadema pituitary tumour. I seem to have a regular amount of almost clear (pinkish, thin/ watery) discharge which is continuing after the bleeding has stopped and the viscous stuff is diminishing.
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One can test the fluid for beta-2 transferrin. If it is positive it is csf.
If it is copious, watery, and after transphenoidal surgery, one should consider it csf leak until proven otherwise.
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Daniel M Prevedello, MDBlank
The Ohio State University Medical Center
Columbus , OH
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