Ear, Nose & Throat Community
Best protocol for diagnosis of trauma CSF leak?
About This Community:

This patient support community is for discussions relating to ear, nose and throat issues, ear infections, nasal polyps, sore throats, and swollen glands.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Best protocol for diagnosis of trauma CSF leak?

What is best, conservative protocol for diagnosis of CSF rhinorrhea? Facts of case, hit head with a hard blow to the side of the bony bridge of the nose resulting in significant bruising and swelling of nose, however ER xray showed no nasal bone break. Nasal xray was only xray taken. At time of blow, heard distinct "crack" sound in head, (thought perhaps nose was broken.) Also, immediate, profuse, clear salty, tear-like liquid running unilaterally from nose and down back of throat on the same side as the blow. Dizziness, confusion, slurred speech, tinnitus and severe headache right after trauma. Did not know about CSF fluid, was only asked if I was bleeding at ER. Went home. I am overseas with limited medical choices. Apparent unilateral CSF leak for 3 months now. I hear a noise, like a crack, when I turn my head sometimes and the flow then increases. Have collected fluid. How "fresh" does specimen need to be? Refrigerated? What are logical steps for diagnosis? Lab test of fluid, then MRI? would greatly like to avoid CT scan due to radiation risk, if possible. Flow of salty fluid has lessened compared to the first few weeks, but still detectable. Opinions on best protocol and course of action? Thanks, JB
Related Discussions
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Ear, Nose & Throat Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Ear, Nose, Throat Answerers
612551_tn?1247839157
Blank
Jerry_NJ
NJ
209987_tn?1334790318
Blank
tschock
AB
6423135_tn?1381947504
Blank
zombie_pikacha