![]() While many CSF leaks heal on their own and require only a period of bed rest, patients with symptoms of the condition should still visit their physician due to the increased risk of meningitis that is associated with cranial CSF leaks.įor cranial cerebrospinal fluid leaks that do not respond to conservative treatments, surgery may be necessary to repair the leak. How is a cerebrospinal fluid leak treated? A CT scan, MRI, myelogram or a cisternogram can assist the physician in determining the location of the leak in either the cranial or spinal area. ![]() The pledget test, however, cannot be used to determine the location of the leak. Cisternogram, which can determine if there is abnormal cerebrospinal fluid flow within the brain or spinal canalĪ pledget test may be used to determine if a cranial CSF leak is occurring by placing small cotton pads (pledgets) in the nose.Specialized tests such as myelography, which takes images of the spine, spinal cord and surrounding structures to look for abnormalities.Whether the hole or tear is in the cranial area or the spine, the physician can order imaging tests to determine the exact location of the leak. The patient’s physician also may order tests to examine the condition of the brain and spinal cord. If the discharge can be collected, it is sent for laboratory tests to determine if it is cerebrospinal fluid. If a cranial CSF leak is suspected, the patient’s physician may ask them to lean forward so they can observe if this increases the flow of nasal discharge. Experts such as those in the Cedars-Sinai CSF Leak Program can be pivotal in providing relief. A CSF leak can be difficult to detect, causing misdiagnosis or delayed diagnosis. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.How is a cerebrospinal fluid leak diagnosed?ĭiagnosis of a CSF leak generally begins with a physical exam and history. It is not intended as medical advice for individual conditions or treatments. The above information is an educational aid only. © Copyright Merative 2023 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Avoid straining when you have a bowel movement. ![]() Stay in bed with your head raised on pillows.In order to decrease pressure and allow your CSF leak to heal on its own, you will need to do the following: Write down your questions so that you remember to ask them at your visits. Carry your medicine list with you in case of an emergency.įollow up with your healthcare provider in 7 days or as directed: Bring the list or the pill bottles to follow-up visits. Include the amounts, and when and why you take them. Keep a list of the medicines, vitamins, and herbs you take. Tell your provider if you are allergic to any medicine. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. You may also receive medicines to help soften bowel movements so that you do not strain. You may receive medicines to help you not cough and vomit.Treatment will depend on the location and size of your leak. CSF surrounds and cushions your brain and spinal cord. Last updated on May 1, 2023.Ī cerebrospinal fluid (CSF) leak happens when there is a tear in the membrane (dura) that contains the fluid. ![]()
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