Endoscopic Repair of CSF Rhinorrhoea at ENT Delhi
Endoscopic repair is considered the treatment of choice in cerebrospinal fluid
Cerebrospinal fluid (CSF) rhinorrhea has been reported to be spontaneous or secondary to head trauma. The repair of CSF rhinorrhoea has rapidly evolved over the past 30 years. Prior to the advent of the endoscopic approach, craniotomy was used for repairs, which carried a variable success rate and relatively high morbidity
CSF Rhinorrhoea repair At ENT Delhi
The most common clinical manifestation of CSF leak is clear, unilateral rhinorrhoea, exacerbated by bending over or performing a Valsalva manoeuvreer. The presence of headache should make the clinician suspicious of raised intracranial pressure or or meningitis.
Diagnosis can be confirmed by the laboratory analysis of CSF markers such as Beta-2 transferrin, which is a sensitive and specific marker in chronic or severe cases.
More usually however, a CT Scan or MR Cysternography is performed to diagnose the presence and location of a leak.
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