Diagnosis And Management Of CSF Rhinorrhea

CSF Rhinorrhea is characterized by spontaneous drainage of cerebrospinal fluid (CSF) through the nose. The underlying pathological changes are less occurring but can incite significant morbidity and mortality of the affected individual. This article describes current practice essentials for diagnosis and management of CSF Rhinorrhea.

CSF rhinorrhea occurs when the barriers between the sinonasal cavity and the anterior & middle cranial fossae are disrupted. This may lead to severe complications such as infections to the CSF. The underlying etiologies of CSF rhinorrhea may include: Traumatic (Penetrating and close-head trauma – 90% of the cases) Iatrogenic (surgical manipulation near the skull base can cause CSF rhinorrhea in 50% of the cases) Tumor-related Congenital Spontaneous Diagnostic approaches for CSF Rhinorrhea History and Physical Examination: A careful physical examination and…