1. I assume that you have undergone an operation for the repair of CSF leak through your nose. Please provide exact details. Was it a traumatic or spontaneous CSF leak?
2. If it was a nasal CSF leak, then some amount of nasal discharge is normal. The healing period is four to six weeks.
3. Was a lumbar drain inserted in the first few post-op days?
4. You should get the fluid collected in a sterile container and tested is you suspect that it is still CSF. Get a Beta-2 Transferrin
test on the fluid, if available.
5. 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.
6. If CSF leak is suspected, a CT cisternography and MRI with contrast should be done. Spontaneous leaks may be multiple.
7. If you have confirmed CSF rhinorrhea
, then an endoscopic repair through the nose or an open approach (craniotomy
) will be possible with fat, cartilage
, fascia and fibrin glue