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Cerebrospinal fluid in the rhinitis clinic

Published online by Cambridge University Press:  29 June 2007

M. J. Brockbank ,
D. Y. Veitch  and
H. G. Thomson
M. J. Brockbank*
Affiliation:
London
D. Y. Veitch
Affiliation:
London
H. G. Thomson
Affiliation:
London
*
Mr M. J. Brockbank, F.R.C.S., Senior Registrar, The Royal National Throat Nose and Ear Hospital, Grays Inn Road, London WC1X 8DA.
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Abstract

The Rhinitis Clinic at the Royal National Throat Nose and Ear Hospital is a direct referral clinic dealing with approximately 300 new cases a year. Last year three cases of spontaneous CSF rhinorrhoea were liagnosed. In each case long term topical steriod sprays had been prescribed and the patients had been eferred for further management of their ‘rhinitis’. Spontaneous CSF rhinorrhoea is potentially life hreatening as failure to recognize the problem may lead to the development of meningitis and possibly death. The diagnosis is simple and is based on a good clinical history which may be confirmed by chemical pathology. Radiology is often non-contributory, the site of the leak may have to be identified at surgery. Morbidity and mortality are reduced if an extracranial, trans-nasal/external ethmoid route for repair of the istula is employed.

Three case reports are presented and the diagnosis and management of CSF rhinorrhoea is reviewed.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 3 , March 1989 , pp. 281 - 283
Copyright
Copyright © JLO (1984) Limited 1989

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