![]() If high-pressure hydrocephalus is causing the CSF leak, the condition may reoccur until shunts are used to help drain the excess fluid. If an epidural blood patch does not work, other surgical repairs may be necessary. The resulting blood clot then "patches" the hole where the leak is occurring. An epidural blood patch involves injecting the patient’s own blood into the spinal canal. The Cedars-Sinai Sinus Center has extensive experience in the use of nasal endoscopy, which is much less invasive than traditional surgical methods.įor spinal CSF leaks that do not respond to bed rest and other conservative treatments, an epidural blood patch or epidural patching with fibrin glue are treatment options. 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. SIH generally results from a spontaneous cerebrospinal fluid (CSF) leak usually in the spinal region subsequently leading to headache, usually postural in. ![]() The pledget test, however, cannot be used to determine the location of the leak. Brain CT scan indicated pneumocephalus, subdural hygroma, and meningitis ( Fig. Empirical antibiotics of 1 mg vancomycin, 1 g cefepime, and 500 mg metronidazole were given intravenously (IV). 1) with an apyrexial body temperature of 36.0. 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. A cerebrospinal fluid (CSF) tap detected a foul smelling pus-like CSF ( Fig. ![]() Therefore, CSF leak is an extremely important entity to detect and treat.
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