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WATER COMING FROM MY HEAD , WHAT IS THE REASON FOR THIS DROOP ?

HI DR. PLEASE I HAVE DROOP FROM MY NOSE LIKE WATER I WENT TO GENERAL DR. HE INFROM ME THAT WATER COME FROM MY HEAD , WHAT IS THE REASON FOR THIS DROOP. THANK YOU
Asked On : Tue, 24 May 2011
Answers:  3 Views:  334
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Diseases and Conditions
ENT Specialist 's  Response
1. If you have confirmed CSF rhinorrhea, the treatment remains the same, irrespective of the cause.

2. If you consider barotrauma as the cause, proven cases are rare. You might be one of the first cases in the world with sinus barotrauma leading to CSF leak. This might have happened because you are predisposed by some underlying connective tissue disorder, congenital defect / anomaly or benign intra cranial hypertension.

3. A proven route of CSF leak is barotrauma causing a perilymph leak in the ear, draining to the nose via the Eustachian tube. This is also known as CSF Otorhinorrhea. However, this should usually be accompanied by ear symptoms or dizziness. Sometimes there are no ear complaints. You may include an HRCT Temporal Bones along with the CT cistrrnography.
Answered: Thu, 26 May 2011
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General Surgeon Dr. Avinash A's  Response
hi welcome to healthcaremagic
need further details regarding your illness..is it the csf he is talking about? if it is so nothing to worry about if there are no other symptoms..lie flat without a pillow..do not sneeze hard or cough..it will settle down spontaneously..
Answered: Tue, 24 May 2011
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ENT Specialist Dr. Sumit Bhatti's  Response
1. There is only a thin layer of wafer thin bone normally separating the nose from the brain. The brain is surrounded by a clear fluid called CSF (Cerebro Spinal Fluid) which flows and pulsates around the brain, wich it supports and nourishes. This may also leak out spontaneously (without a known cause) in some people. Spontaneous leaks are often multiple and meningitis is rare.

2. You should try and collect this fluid in a sterile container and get it examined to rule out CSF. This is done to differentiate between allergic rhinitis and CSF rhinorrhea.

3. The 'teapot' sign or 'reservoir sign' is seen where this fluid drips out on bending forwards or looking down.

4. A simple test is the 'Handerchief Test': Normal nasal secretions contain mucus which will stain and stiffen a soft handkerchief on drying, but CSF will not.

5. Do you have any history of recent head injury? Any ear complaints? If the above mentioned tests are negative, then you have allergic rhinitis.

6. If CSF leak is suspected, a CT cisternography and MRI with contrast should be done.

7. This is by no means an exhaustive investigation. Further testing depends upon the results (of these above mentioned tests) that you may post here.
Answered: Tue, 24 May 2011
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