CSF Rhinorrhoea Flashcards
1
Q
What can cause CSF rhinorrhoea?
A
Ethmoid fractures that disrupt the dura and arachnoid leading to CSF leakage
2
Q
If not associated with trauma, what should you consider?
A
Tumour
3
Q
What does nasal CSF discharge test positive for?
A
Glucose
4
Q
What does CSF uniquely contain?
A
Beta 2 (tau) transferrin
5
Q
How is it managed?
A
Conservative has high spontaneous resolution - 7-10 bed rest head elevated 15-30 degrees +/- lumbar drain
Avoid coughing, sneezing, nose blowing
Cover with antibiotics and pneumococcal vaccination
6
Q
Is surgery needed?
A
Often not needed
