![]() Lumbar drain is sometimes used during surgery to prevent CSF leakage.Īn epidural blood patch is a surgical procedure that involves using a person’s own blood to patch tears in the dura mater. During that time, the person stays in hospital so medical staff can monitor the drain. The drain typically stays in for 5 to 10 days. When the catheter is in place, the needle is removed. A needle is inserted into the back, then the lumbar drain catheter is placed through the needle. In this procedure, a tube connected to a drainage bag is inserted in the CSF compartment at the base of the person’s back. taking acetozolamide in cases of intracranial pressureĪ CSF leak that does not respond to conservative treatment may require more invasive approaches, such as those below.Ī lumbar drain slowly removes some CSF fluid, reducing pressure at the site of the leak.taking over-the-counter or prescription pain relief medication.using stool softeners to avoid straining. ![]() bed rest with head elevated around 30 degrees.Conservative treatmentsĬonservative treatments mainly focus on managing symptoms. Some leaks respond to conservative treatment, while others require more invasive approaches. Treatment for a CSF leak depends on its severity and the cause. If a doctor suspects a CSF leak, they may order a CT or MRI scan to help confirm the diagnosis and locate the leak. Any sample of discharge that contains CSF can indicate a leak. Checking the glucose levels in nasal discharge can help determine whether it contains CSF. Unlike mucus, which is thick and sticky, CSF is clear and watery.Ĭompared with mucus, CSF also has a high concentration of glucose. ![]() The result will form two distinct rings, called a “target” or “double ring” sign.Ī healthcare professional can often identify CSF just by looking at a sample on a handkerchief or piece of gauze. Once in contact with the paper, any CSF will separate from any blood or mucus. The test for CSF fluid involves placing a sample of what the doctor suspects to be CSF discharge on a piece of filter paper. Its presence in the blood can confirm a CSF leak.īeta transferrin test is often performed along with a test of CSF discharge fluid to rule out the chance that beta transferrin is in the blood because of genetic or other factors. Beta transferrin is a protein normally only found in CSF fluid. The beta transferrin test looks for this substance in the blood. The most common and important of these is the beta transferrin test. A doctor can use a number of tests to diagnose a CSF leak.
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