Cerebrospinal fluid rhinorrhoea

Cerebrospinal fluid rhinorrhoea
SpecialtyNeurology, neurosurgery, otorhinolaryngology,Oral and maxillofacial surgery
Symptomsclear, colourless liquid draining from nose
Complicationsinfection
Causesbasilar skull fracture
Diagnostic methodbrain scans, testing nasal discharge to see if it is CSF
Differential diagnosisother types of rhinorrhoea
Treatmentconservative management: observation neurosurgery: repairing any skull fracture

Cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea) refers to the drainage of cerebrospinal fluid through the nose (rhinorrhoea). It is typically caused by a basilar skull fracture, which presents complications such as infection. It may be diagnosed using brain scans (prompted based on initial symptoms), and by testing to see if discharge from the nose is cerebrospinal fluid. Treatment may be conservative (as many cases resolve spontaneously), but usually involves neurosurgery.