CSF, or cerebrospinal fluid, is a transparent liquid that surrounds the brain and spinal cord. Its function is to give nourishment to these regions as well as to cushion the brain within the skull. The dura mater, or thin layers of tissue covering the brain, can allow CSF to escape through a rupture in this tissue. The fluid may then escape through the nose or ears or into other regions of the body. CFS in the spine can also spread to the muscles and connective tissue that surround the spinal column. A CSF leak is a severe problem that can lead to headaches, meningitis, and seizures. Fortis Hospital Gurgaon is the best when it comes to neurosurgical problems. Get this hospital’s full profile on Credihealth.
Symptoms and causes of cerebrospinal fluid leak –
An upright headache is the most frequent symptom of a CSF leak – a headache that intensifies when the head is in an upright posture, such as when a person is sitting or standing. When a person rests down, their headaches generally subside. The posture of the head does not always have a direct impact on the severity of the headache. A person may instead suffer a headache that intensifies over the day.
When a person with a CSF leak moves their head, they may observe clear, watery fluid leaking from their nose or ears, especially when leaning forward. CSF may also drain down the throat. The flavor is described as salty and metallic by those who have tried it. Other signs of a CSF leak are:
- Tinnitus, often known as ringing in the ears.
- loss of hearing
- alterations in eyesight
Head traumas cause up to of all CSF leaks in adults. Blunt force head injuries can fracture facial bones or temporal bones on either side of the skull. These fractures can potentially cause the dura mater to rupture, resulting in a CSF leak. Other reasons for a CSF leak in the skull or spine include as follows:
- A spinal epidural injection
- An infusion of anesthesia
- A lumbar puncture, which is a procedure that involves inserting a needle into the lower back.
- Tumors of the brain
- Surgery performed on or around the base of the skull or spine
- Structural skull anomalies that have existed from birth
Diagnosis of a cerebrospinal fluid leak – A doctor can utilize a variety of tests to determine if there is a CSF leak. One test includes putting a sample of what the doctor believes is CSF discharge on filter paper. Any CSF that comes into touch with the paper will separate from any blood or mucus. As a consequence, two separate rings will develop, which is known as a “target” or “double ring” sign.
CSF may frequently be identified by a healthcare expert simply by glancing at a sample on a handkerchief or piece of gauze. CSF is clear and fluid, as opposed to mucus, which is thick and sticky. CSF has a high quantity of glucose when compared to mucus. Glucose levels in nasal discharge can help identify whether it contains CSF. Any discharge sample containing CSF might suggest a leak. If a doctor suspects a CSF leak, a CT or MRI scan may be ordered to assist confirm the diagnosis and identify the leak.
The combination of a skilled doctor and cutting-edge technology equals a happy patient. Fortis Memorial Research Institute Gurgaon has both of them at your service. Book an appointment with this hospital on Credihealth now.
Both of the invasive treatment methods have been listed below:
- An epidural blood patch is a surgical technique that includes patching rips in the dura mater using a person’s blood. During the operation, the surgeon takes 5–25 milliliters of the patient’s blood and injects it into a region immediately beyond the dura mater rupture. Although epidural blood patches have a high success rate, they may not be effective for all forms of CSF leakage.
- Suturing or sewing any tears to avoid future CSF leaking is done during surgery. The method used is determined by the location of the tear. This procedure is minimally invasive, and it entails inserting a thin, flexible tube called an endoscope into the nose, followed by sending small surgical instruments through the tube to heal the tear. If a tear causes CSF to flow from the ears, open surgery will be required by a neurosurgeon. This entails creating a cut in the scalp.
Fortis Hospital Gurgaon has the best neurosurgeons in the region to perform these procedures. Find more information about the neurosurgeons that work here on Credihealth.