Different techniques have been proposed to repair cerebrospinal fluid rhinorrhea. Advances in nasal surgery led to a high success rate and low morbidity for the endonasal approach. It has become the favorite route for treating cerebrospinal fluid leaks of the anterior skull base. Better results have been obtained with the improvement of rigid endoscopes and intrathecal sodium fluorescein. In a ...

  Abstract   Background: Over the past 20 years, the minimally invasive endoscopic approach   has gained widespread acceptance. The study was performed to evaluate the   diagnostic method and the success rate of endoscopically diagnosed and treated CSF   rhinorrhea, and also investigations such as leakage site and etiologic factor.   Methods: This retrospective CSF leakage management review of ...

A 34-year-old woman presented initially with meningococcal meningitis and with Streptococcus mitis meningitis 6 months later. A right cribriform plate area meningoencephalocele was discovered on MRI at the second episode. In retrospect, this abnormality was present on initial MRI (figure). The patient recalled intermittent watery rhinorrhea for 1 year preceding the first meningitis episode, but...

Cerebrospinal fluid (CSF) rhinorrhea is often intermittent, thus complicating the cisternographic localization of the leakage. In four patients studied, this difficulty was overcome by lumbar infusion of artificial CSF to which a bolus of radionuclide was added. The tracer was moved in bulk to the basal cisterns, and the rise in CSF pressure elicited a profuse rhinorrhea. Sequential imaging was...

A 38-year-old man with pneumococcal meningitis, pneumocephalus, and CSF rhinorrhea was admitted to our hospital. The CSF rhinorrhea had no traumatic or iatrogenic etiology. The patient was treated with meropenem and recovered from meningitis. Axial plain CT showed pneumocephalus (figure 1, A and B), but no skull defects. Three-dimensional CT revealed defects of the posterior walls of the spheno...

We report two children presenting with intermittent CSF rhinorrhea and recurrent meningitis. CT scan showed transethmoidal meningoencephalocele.

A microfluidic device with integrated sample preparation is introduced for the detection of cerebrospinal fluid rhinorrhea—a condition resulting in leakage of CSF from the nose due to head trauma. While CSF rhinorrhea is a serious condition, current state-of-the-art diagnostics are expensive or slow (MRI, CT scan or ELISA). We show the capability of a microfluidic immunoassay to accept and proc...

The CDC presented considerations for distinguishing influenza-like illness from inhalational anthrax (MMWR, 9 Nov 01, 50:44 pp. 984-986). “Although many different illness might present with influenza-like illnesses (ILI) symptoms, the presence of certain signs and symptoms might help to distinguish other causes of ILI from inhalational anthrax. Nasal congestion and rhinorrhea are features of mo...