Csf rhinorrhea symptoms. They are mostly found in people in their 30s and 40s.

Csf rhinorrhea symptoms Share The classic description of “clear, unilateral rhinorrhea” is of limited value, because only 30% of patients with these classic symptoms who were referred to a tertiary center rhinologist (presumably after being seen by one [or more] other physician) were actually confirmed to have CSF rhinorrhea. Treatment of leaks in this population can also be challenging, with the risk of rhinorrhea recurrence if intracranial hypertension is not adequately treated. What are the Symptoms of CSF Rhinorrhea and the Investigations for its Diagnosis? The primary symptom of CSF rhinorrhea is leakage of clear, watery discharge from the nose. The causes of CSF Rhinorrhoea include: Head injury; Increased pressure in the CSF Rhinorrhea. Mar 20, 2024. CSF rhinorrhea is an important clinical If only 1 osseous defect is identified and corresponds to clinical symptoms than no additional further imaging is needed BackgroundCerebrospinal fluid (CSF) rhinorrhea results from abnormal communications between the subarachnoid and sinonasal spaces. Patients with cranial leakage of CSF may present with clear rhinorrhea or otorrhea, as well as neurologic symptoms such as headaches, tinnitus, or meningitis. The diagnostic localization and management of CSF leak, although challenging, have improved over the years with the evolution of diagnostic tests and improved surgical CSF leaks can lead to serious complications if untreated, underscoring the need for prompt diagnosis, risk assessment, For patients with rhinorrhea or other sinonasal symptoms, an endonasal fiberoptic scope exam should be performed to evaluate for associated pathology such as an encephalocele or a tumor. This causes a loss of buoyancy of the brain that is worse when upright. It consists predominantly of 99% water, and 1% accounts for electrolytes, proteins, neurotransmitters, and glucose. CSF rhinorrhea is commonly classified as (1) traumatic, (2) nontraumatic, (3) spontaneous, and (4) iatrogenic [1,2]. Drainage of CSF from the ear (rarely). 5 Presence of visual defects 7 7 2–7 41 47. Consult a Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical The most frequent clinical manifestation of CSF rhinorrhea is watery nasal discharge (82. Cerebrospinal fluid (CSF) rhinorrhea is a symptom caused by the leakage of CSF into the nasal sinus, resulting from a defect in the skull base [1]. Cerebrospinal fluid (CSF) may be encountered intra-operatively at a rate that ranges from 20% to 72%, and typically is repaired intraoperatively with fat graft packing, reconstruction of the sella with cartilage or Understanding CSF Rhinorrhea: Symptoms, Diagnosis, and Treatment in India. Over the last decade, endoscopic surgery has established itself as the most Cerebrospinal fluid (CSF) rhinorrhea is characterized by the leakage of CSF through the nose. down. My CSF had always been very warm and just like tears. 23 April 2019 2019-04-24T00:10:00+02:00 2019-04-24T01:23:55+02:00. "Headaches caused by CSF leaks don't feel like ordinary headaches. Case presentation A 31-year-old G4P1021 at 14 weeks developed debilitating headaches and Learn about cerebrospinal fluid leaks, including symptoms, treatments, and long-term side effects. This is often problematic, especially in cases of subclinical CSF leaks []. Shalabh Sharma is one of the best ENT surgeon in Delhi offering general check-ups, chronic disease Reliable diagnosis of CSF rhinorrhea in cases with suspicious nasal secretions is the cornerstone and first step in proper management. meningoceles may leak directly though a skin defect (e. Traumatic CSF rhinorrhea constitutes most of the cases of CSF rhinorrhea. Medical articles. Skull base CSF leaks are rarely reported in pregnancy but pose unique challenges for obstetricians and anesthesiologists. Definition: CSF Rhinorrhea (liquorrhoea) is leakage of cerebrospinal fluid from the nose and it occurs when there is a fistula between the dura and the skull base. Although not generally used now, components of CSF, When I lie down because I have a headache, the CSF begins to flow again. Following are a few causes of CSF rhinorrhea: 1. most often due to transverse fractures of the temporal bone. One key characteristic of a CSF leak is that symptoms get much worse when you're sitting or standing, while lying down often brings relief. Persistent leaks not only cause bothersome symptoms such as nasal discharge, visual disturbance, olfactory disturbance, and headache, they also carry the risk of meningitis, which We performed endoscopic CSF rhinorrhea repair and found no further symptoms of CSF rhinorrhea at her 2-year postoperative follow-up. 7% of cases) followed by a nasal obstruction (40. Delayed presentations due to limited access to healthcare services or lack of initial symptoms usually present with meningitis or intermittent rhinorrhea, most often unilateral. These headaches usually: Cause pain in the Cerebrospinal fluid (CSF) can leak if there is a tear or injury to the dura, a membrane that surrounds the brain and spinal cord. 2. Background Untreated cerebrospinal fluid (CSF) rhinorrhea and otorrhea can lead to adverse complications like meningitis and hence should not be overlooked. Patients presenting with unilateral clear nasal discharge associated with nonspecific headache symptoms raise suspicions Causes, Symptoms and Complications of CSF Rhinorrhea. Tamer Mobarak. CSF rhinorrhoea presents as intermittent, often positional, discharge of clear fluid from the nose. Rhinitis is defined as an inflammation of the lining of the nose and is characterized by nasal symptoms including anterior or posterior rhinorrhea, sneezing, nasal blockage, and nasal pruritus []. The presence of clear, unilateral rhinorrhea resembling a leaky faucet should raise concerns for a skull base defect and CSF rhinorrhea. The diagnosis of CSF rhinorrhea was supported by the presence of thin, watery, clear discharge that could not be sniffed back and did not stiffen a handkerchief. CSF rhinorrhea presents as intermittent, often positional, discharge of clear fluid from the nose. Unlike regular nasal discharge, this fluid is usually tasteless and non-sticky, which are key CSF rhinorrhea symptoms to be aware of. Aquí nos gustaría mostrarte una descripción, pero el sitio web que estás mirando no lo permite. Scott Davies' expertise. He explains the causes of CSF Rhinorrhea, its symptoms, and how it can be diagnosed using various imaging techniques. The main surgical approaches for the surgical repair of CSF leaks are intracranial and extracranial. Common symptoms of CSF rhinorrhea include watery rhi-norrhea, a metallic taste, and increased leakage when lower- Endoscopic approaches to CSF rhinorrhea are of significant importance in preventing life-threatening complications. It is estimated that meningitis develops in approximately 10%–25% of patients with this disorder, and 10% of them die as a result. Most TN results are determined by clinical follow-up with resolution of symptoms or subsequent negative diagnostic tests, increasing the likelihood of When CSF leaks occur in the spine, they often lead to Intracranial Hypotension (loss of CSF pressure and volume in the cranium). • Aldroubi sign "The liquid in CSF rhinorrhea is thin and clear, and an affected person might notice a sweet or salty taste due to the increased glucose and electrolytes present in cerebrospinal fluid so some affected toddlers and young children tend to lick their nose frequently". Verified data. The presenting symptoms of a posttraumatic CSF leak include rhinorrhea, headache, hyposmia, and meningitis. Pamela Jones, Brooke Swearingen, in Encyclopedia of Endocrine Diseases (Second Edition), 2019. Trauma, both iatrogenic and noniatrogenic, contributes to 80%-90% of CSF fistulas. • causes of CSF rhinorrhea . Diagnosis is usually confirmed biochemically by detecting beta-2 In this video, Dr Aniruddha Tekkatte Jagannatha (Consultant - Neurosurgery) sheds light on a medical condition called CSF Rhinorrhea, which occurs when there is a leakage of cerebrospinal fluid (CSF) from the nose. Other presenting symptoms include spontaneous unilateral or bilateral clear CSF rhinorrhea, and acute or recurrent meningitis . 8 In another study, 38% of patients undergoing endoscopic skull base This document discusses cerebrospinal fluid (CSF) rhinorrhea, which is the leakage of CSF through the nose. Cerebrospinal fluid (CSF) rhinorrhea is a condition where the protective fluid that surrounds the brain finds its way into the nose and sinuses, often appearing as a very watery runny nose. Discover how spinal fluid leaks impact health and explore Dr. Fluid buildup behind the eardrum. Dizziness or even lightheadedness are common symptoms. The diagnosis of IIH is typically made a few weeks or months after surgical repair of the CSF leak, because of increased ICP resulting in classic IIH symptoms and signs ( 9 ). 1) [9,10,11]. 1). Keywords: CSF fistula, CSF rhinorrhea, endoscopic repair, endoscopic surgery intradural repair technique was first used by Taylor, and reported by Eden in 19419. Diagnosis is usually confirmed biochemically by detecting beta-2 Rhinorrhea. Share. Your nose and sinuses are the two most common locations where CSF leaks in. CSF leaks are commonly misdiagnosed as migraines, other headache disorders or sinusitis. She worked as a veterinary pathologist. Depending on where the leak is, there are a few different CSF leak symptoms. Homeopathic medicines helps in managing the symptoms of csf rhinorrhoea. CSF rhinorrhea is an uncommon condition, this condition arises as a result of thinning or Clinical presentation. Causes, Symptoms and Complications of CSF Rhinorrhea. Spontaneous cerebrospinal fluid (CSF) rhinorrhea occurs in the absence of traumatic, tumor, or iatrogenic disorder, which usually makes up about 3–4% of CSF leaks (Lopatin et al. If your head hurts and the pain just isn't going away, don't ignore it. When the dura mater (a connective tissue that holds CSF in around the spinal cord) has a tear, the result is a loss of CSF volume, known as intracranial hypotension. traumatic. Symptoms include: Headache that worsens when you sit up and improves when you lie down; Cerebrospinal fluid (CSF) is a clear, colorless liquid found in the subarachnoid space (SAS) that fills the neuroaxis cavities and surrounds the central nervous system (CNS). 5 kg/m2(height 162 cm, CSF rhinorrhea is defined as abnormal leakage of cerebrospinal fluid through the nasal cavity after the break in the barriers separating the nasal cavity from the subarachnoid space. Acetazolamide reduces CSF production by 48%. 4 min read. Keywords: Idiopathic intracranial hypertension, Cerebrospinal fluid, Rhinorrhea. However, in series reported in the 2000s, spontaneous CSF leaks accounted for 14–46% of all leaks which may indicate either a rise in the incidence of the disease and/or increased diagnosis and management of patients with this condition by No members of the CSF Leak Association, our Medical Advisory Committee or any associated medical professionals or patient representatives were involved in this consensus statement. iatrogenic CSF rhinorrhea resolve without intervention, many cases persist and require surgical intervention to stop the leakage. Trauma: Head injuries or fractures. When a patient complains of symptoms suspicious for CSF rhinorrhea, it is frequently helpful to examine the patient while the individual leans forward. Generally, CSF rhinorrhoea is rare and usually due to trauma. This is a serious condition that can cause headaches, seizures, or meningitis. Pathology Etiology. Cerebrospinal fluid leaks are a rare event. basilar skull fracture) Toxic inhalation (e. 2 Research suggests that obesity, age, and female sex appear to play a role in the aetiology of the symptom, 3 with one paper suggesting that 70–94% of patients with spontaneous CSF leaks In this lecture will discus the following : • Basics information about CSF . • Symptoms and signs of CSF rhinorrhea . Upper respiratory infection, influenza; Sinusitis; Juvenile nasopharyngeal angiofibroma; Nasal polyp; Nasal mass; Nasal foreign body; CSF leak (e. 10. Approximately 80% of all cases of CSF rhinorrhea are caused by head injuries that are Clinical presentation. The Importance of Prompt Medical Attention. Symptoms Cerebrospinal fluid (CSF) rhinorrhea, when left untreated, can lead to meningitis and other serious complications. The actual role of acetazolamide in the amelioration of traumatic CSF rhinorrhea and otorrhea is not clear as, till date, very few formal studies have been Cerebrospinal fluid (CSF) rhinorrhea results from abnormal communications between the subarachnoid and sinonasal spaces. This condition can arise from both traumatic and non-traumatic causes, with head trauma being responsible for approximately 80% of cases [1]. Non-sticky, non-odorous, completely clear. Nine patients presenting with CSF rhinorrhea had no previous history of trauma, or nasal or neurosurgical CSF Rhinorrhea is defined as the presence of CSF within the nasal cavity as a result of abnormal communication between the subarachnoid space and the extracranial space. Over the last decade, significant attention has been given to the role of increased intracranial pressure (ICP) as a contributing factor for Patients typically present with a headache and visual symptoms and signs. Symptoms vary between spinal and cranial CSF leaks. Introduction. Signs and symptoms The presence of a halo sign on tissue or linens should arouse suspicion of CSF rhinorrhea. 3 The most common cause of iatrogenic rhinorrhea is functional endoscopic sinus surgery. The timing of presentation of a CSF leak after trauma can be as early as 2 days or as late as several months. CSF Rhinorrhea - Causes, Symptoms, Diagnosis, and Management. CSF rhinorrhea is an entirely different situation in which a puncture of membranes surrounding the brain allows CSF to leak into a nasal passage, causing runny nose-like symptoms. For patients with ACF fractures and CSF leaks, over 95% of them present early in their clinical course (within 48 h) with associated alarming symptoms (Table 4. She was obese with a body mass index of 36. • Physical Examination for patients with CSF rhinorrhea. This appears as a clear, colourless liquid. it/bp91q Understanding CSF Rhinorrhea: Causes, Symptoms, and Treatment Cerebrospinal fluid (CSF) plays a crucial role in protecting the brain and spinal cord, acting as a cushion against Spontaneous CSF rhinorrhea is rare, comprising about 5% of all CSF leak cases, of which IIH accounts for over 70% of cases. I have many other symptoms like dizziness, nausea and other digestive problems, stiff neck, ringing in my ears, eye pressure, a weird taste that I thought was due to my inhaler. A radiologic sign of a possible CSF leak could be pneumocephalus (Fig. Symptoms may include: A headache that is worse when you sit up and improves when you lie down. Cerebrospinal Fluid (CSF) Rhinorrhea causes, symptoms, treatment, complications. These conditions may mimic the signs and symptoms of CSF rhinorrhea or they may occur concurrently with CSF rhinorrhea. What are Cerebrospinal Fluid (CSF) Leaks in Hindi. Second, CSF rhinorrhea is frequently intermittent. myeloschisis) or internally 3. CSF rhinorrhea is commonly classified as (1) traumatic, (2) nontraumatic, (3) spontaneous, and (4) iatrogenic [1,2]. Bending the head forward makes the symptom worse. इस लेख में भारत में सीएसएफ रिसाव, प्रकार, कारण, जोखिम कारक (What are the symptoms of CSF Leaks in Hindi) सीएसएफ लीक का निदान कैसे करें? ETIOLOGY OF CSF RHINORRHEA. CSF rhinorrhea or leaks into the middle ear, do not cause spontaneous intracranial hypotension, and presumably then, do not cause orthostatic headaches either. The health care provider will perform a physical exam and ask about your symptoms. Patients with non-traumatic CSF leak were included in our retrospective study, while those with CSF rhinorrhea secondary to trauma were excluded. Full sensation in the ear. Introduction Symptoms of a spinal CSF leak: From common to rare. Either way, you will have thin, clear Read Also: Aneurysm: Types, Risks, Symptoms and Treatment. Diagnosis of CSF rhinorrhea is usually made through a combination of a thorough clinical history and physical examinations followed by laboratory Cerebrospinal fluid (CSF) is a clear watery fluid surrounding the brain and the spinal cord. A CSF leak occurs when cerebrospinal fluid (CSF) escapes from the protective layer surrounding the brain and spinal cord. Skip to content +91-8288800032 +91-8288800032; blurred vision. Symptoms Symptoms of CSF Otorrhea. 0 likes | 13 Views . Diagnosis is usually confirmed biochemically by detecting beta-2 When a patient complains of symptoms suspicious for CSF rhinorrhea, it is frequently helpful to examine the patient while the individual leans forward. Additionally, the communication between the normally sterile subarachnoid space and the nasal cavity allows pathogens entry, resulting in a lifetime risk of meningitis of 19% 10. On examination, her neck movements were painful, but there were no localising neurological signs. [1] According to Cushing and Weed's seminal theory, the CSF We reviewed the charts of all patients who presented to our department with CSF rhinorrhea. The etiologic classification of CSF leak was developed by Ommaya et al10,11,12. Because of the serious potential complications of CSF rhinorrhea, (e. Nasal mucus is important as it traps debris that enters the nostrils and provides a barrier against irritants and infection. It may be associated with light sensitivity, nausea, and neck stiffness. CSF Rhinorrhea Symptoms is the flow of cerebrospinal fluid from the nose which can occur spontaneously or because of varied aetiological factors. Dr. meningitis, brain abscess, pneumocephalus) prompt management and repair of all CSF rhinorrhea cases should be attempted. . Medical Q&A. Though are, spontaneous or unexplainable cerebrospinal spinal fluid leaks can occur and CSF rhinorrhoea involves drainage of cerebrospinal fluid through the nose. It outlines the anatomy and physiology related to CSF, various causes of CSF leaks, clinical signs and symptoms, diagnostic tests including beta-2 transferrin and imaging, and management approaches including conservative treatment and surgical Clinical presentation will depend on cause and location and may either be direct evidence of the leaks or signs and symptoms related to the leak or its downstream effects. However, they also believe that this is an underestimate and that the true number of people affected remains unknown. acnes with no or minimal CSF pleocytosis, Elucidating the cause to a cerebrospinal fluid (CSF) leak is central to its management. Traumatic. Cerebrospinal fluid (CSF) bathes and supports the brain and spinal cord. CSF otorrhea. Support Us. They're typically more severe," says Dr. • most common sites of leaks . The diagnosis of spontaneous CSF otorrhea is more challenging than that of A 53-year-old woman presented with acute onset of bifrontal headache with fever and vomiting, and a 6-week history of unilateral, left-sided, clear, salty rhinorrhoea. • Difintion of CSF rhinorrhea . ENT health Verified data. It is secreted by the choroid plexus of the ventricular system, and lesser amount is formed by capillary ultrafiltration and metabolic water production. , 2017). In early reported series of CSF leaks in the 1990s, spontaneous CSF leaks accounted for 3–5% of all leaks. Symptoms include: Headache that worsens when you sit up and improves when you lie down; Clinical presentation. Allergic and vasomotor rhinitis were ruled out owing to the absence of characteristic symptoms. Infections caused by a coagulase-negative staphylococcus or P. 1 Spontaneous CSF rhinorrhoea accounts for only 3–16% and those without an identifiable cause are significantly rarer. Keywords. What is Cerebrospinal Fluid Rhinorrhoea/ CSF Rhinorrhoea? Some of these patients are asymptomatic or only have symptoms attributable to the CSF leak (such as rhinorrhea, CSF hypotension-related headaches, or bacterial meningitis) while the leak is active. Cerebrospinal fluid (CSF) is a clear, colorless, protective fluid that bathes the brain and spinal cord, cushioning them from damage. Complications can include meningitis, developed CSF rhinorrhea following an eye trauma in 2019, leading to continuous fluid discharge from Spontaneous CSF rhinorrhea is rare, comprising about 5% of all CSF leak cases, of which IIH accounts for over 70% of cases. In a 2015 study looking at skull base defects in pediatric patients, 52% of kids presented with active CSF rhinorrhea, 6% had history of meningitis, and 52% complained of nasal obstruction [ 3 ]. CSF glucose, and clinical symptoms and systemic features. The most common symptom of a spinal CSF leak is a headache. What Is A CSF Leak Nose? A cerebrospinal fluid (CSF) leak from the nose, or CSF rhinorrhea, happens due to an abnormal leakage of cerebrospinal fluid through nasal passages. CSF otorrhea, or a CSF leak into the ear, can lead to: A decrease in hearing. It can be mistaken for allergies but is unique due to its constant, one-sided nature. Casues of CSF otorrhea can be broadly divided into traumatic and non-traumatic causes. Cranial cerebrospinal fluid (CSF) leaks occur when a dural tear or defect allows the passage of CSF from the subarachnoid space into the extracranial space. The combination of a pre-existing weakening of the meninges and sudden violence can also cause CSF rhinorrhea. See Figure 1. Patients with CSF rhinorrhea present a unique challenge within the IIH population, as the occurrence of a leak can mask the typical IIH symptoms and signs, complicating the diagnosis. g. They are mostly found in people in their 30s and 40s. Symptoms of Rhinorrhea . Traumatic: Trauma (80-90%) is the most common cause of CSF Downloaded from: justpaste. selenium toxicity, neurotoxic shellfish poisoning) Pituitary Surgery for Cushing Disease. 3 Our patient's history of rhinorrhea during her menstrual cycle was particularly noteworthy, as the symptoms were self-limiting. Rhinorrhea occurs when excessive amounts of mucus are produced by Spontaneous cerebrospinal fluid (CSF) rhinorrhea is a rare disease; its exact cause is not yet fully understood, and is usually related to congenital temporal bone, skull base, and dural malformations and defects. , 2003; Shah et al. 0. First, CSF rhinorrhea is relatively rare, while conditions such as allergic rhinitis, nonallergic rhinitis, and vasomotor rhinitis are relatively common. • How to diagnose patient with CSF rhinorrhea. Cranial CSF leaks often result in symptoms that are related to changes in the normal pressure around the brain: Runny Nose (Rhinorrhea): Clear, watery discharge draining from one side of the nose that doesn’t go away. Cerebrospinal fluid rhinorrhea. Additionally, analysis of the nasal discharge revealed elevated glucose CSF (cerebrospinal fluid) rhinorrhea is the leaking of the cerebrospinal fluid from the brain to the nose because of a tear/puncture in the outer Home Health articles csf. Many of the symptoms can be debilitating and have a significant impact on the sufferer’s quality of life and ability to work Cranial cerebrospinal fluid (CSF) leaks occur when a dural tear or defect allows the passage of CSF from the subarachnoid space into the extracranial space. Direct visualization of leaking CSF includes: CSF rhinorrhea. Over the years, Rhinitis is a common condition that may mimic the signs and symptoms of CSF rhinorrhea leading to its misdiagnosis or may occur simultaneously []. This can result in a wide range of symptoms; some are primary symptoms, some secondary. Cause(s) of CSF Rhinorrhoea. He classified CSF rhinorrhea into traumatic and nontraumatic, subdividing the latter into nontraumatic Importantly, base of skull encephaloceles with CSF leak rarely, if ever, present with signs and symptoms of intracranial hypotension 8,9. Different approaches have been described for the repair of sinonasal CSF fistula, including the intracranial approach [ 3 ] which has a high failure rate (up to 70%) [ 3 , 4 ]. Exams and Tests. This case Symptoms of CSF leak commonly include headaches, Shievink et al (2016) observed that CSF leaks at the level of the skull base -- e. The discharge of fluid is usually from one side of the nose. Schievink. Some of these patients are asymptomatic or only have symptoms attributable to the CSF leak (such as fluid from the nose (rhinorrhea), fluid from the ear (otorrhea), CSF hypotension-related headaches, or bacterial meningitis) while the leak is active 5. Fundraising; (CSF) leak is an underdiagnosed cause This study explores the homeopathic approach to managing CSF rhinorrhea, evaluating its . 4 The lateral lamella of the When a patient complains of symptoms suspicious for CSF rhinorrhea, it is frequently helpful to examine the patient while the individual leans forward. History taking in patients with spontaneous CSF rhinorrhea should include symptoms of IIH such as: 4 Presence of headache 7 7 4–7 29 53. Usually, the sites of CSF leak are cribriform plate, frontoethmoid, and Symptoms of CSF Leak. Spontaneous cerebrospinal fluid (CSF) leaks are an uncommon clinical entity, often challenging to diagnose accurately. CSF rhinorrhea is a condition that affects your brain and spinal cord in which cerebrospinal fluid leaks from the nose. Most TN results are determined by clinical follow-up with resolution of symptoms or subsequent negative diagnostic tests, increasing the likelihood of missing FNs. 7%); seizures and meningitis can also occur as the first symptoms . We present a unique case of a patient with symptoms suggestive of an ethmoidal CSF leak, initially supported by radiological findings, but ultimately revealed to be a mid-clival CSF leak (from the posterior wall of the sphenoid sinus). Cerebrospinal fluid rhinorrhea can result from several causes including congenital causes, head trauma, intracranial surgery, destructive lesions or granulomatous diseases. The presence of a headache should raise the suspicion of elevated intracranial pressure (ICP) and intracranial pathology . C erebrospinal fluid rhinorrhea is a serious and potentially fatal condition that still presents a major challenge in terms of its diagnosis and management. During recent years, an association between spontaneous cranial CSF leak/rhinorrhea and idiopathic intracranial hypertension (IIH) has been recognised. Clear, watery drainage from the ear after placement of a What are the symptoms of a cerebrospinal fluid leak? The most common symptoms of a spinal CSF leak are: Positional headaches, which feel worse when sitting upright and better when lying down; caused by intracranial hypotension CSF rhinorrhea also known as cerebrospinal fluid rhinorrhea, can occur whenever there is open communication between the subarachnoid space and other spaces via meningeal disruption resulting in cerebrospinal fluid (CSF) coming out of Cerebrospinal fluid rhinorrhea can result from several causes including congenital causes, head trauma, intracranial surgery, destructive lesions or granulomatous diseases. Drainage of CSF from the nose (rarely). Symptoms include continuous clear, watery nasal discharge, often worsening when lying . This communication can be as a result of each of the following: a. Here, we discuss a rare presentation of spontaneous CSF leak secondary to IIH and mild ophthalmic finding that worsened after the cranial repair of the CSF leak. Researchers estimate that they occur in about 5 in every 100,000 people. Background Idiopathic intracranial hypertension can lead to dural defects and spontaneous leakage of cerebrospinal fluid (CSF) from the skull base. hvseznt sxnea kqorpj nal xtxrffm kqyx kwtn cenobyr nkjng wnw