Cranial leaks occur in the head with csf seen dripping out of the nose or ear. Both cranial and spinal leaks can cause neurological symptoms like spontaneous intracranial hypertension. The presence of csf can be confirmed in the leaking fluid by an immunoelectrophoretic study of the fluid for beta 2 transferrin or beta trace protein. This is a specialized lab test requiring an absorptive sponge pad, this would show a double ring sign with a central circle of blood and outer clear ring of CSF. The otolarngologist will assess your nose discharge, to check for csf rhinorrhea. If there is a csf leak, quick intervention needs to be done. Epidural blood patch for a spinal leak is advisable. Take care.
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