Spinal fluid leaking from nose9/10/2023 ![]() There are several types of surgical treatments that repair CSF leaks. Some CSF leaks need surgery, though surgery is only performed if the other treatment options don't work and the precise site of the leak is known. A special sealant may be used alone or mixed with your blood in the same technique described above to cover the hole and stop the CSF leak. The blood cells form a clot, which creates a patch to cover the area where the CSF is leaking. This treatment involves taking a sample of your own blood, then injecting it into the spinal canal. Treatments for spinal CSF leaks may include: Some CSF leaks improve with bed rest alone. This test involves placing a needle in the spinal column to measure the pressure of CSF inside the spinal column, though pressure is normal in more than half of patients with spinal CSF leaks. It provides the most precise location of a CSF leak and helps to determine the most appropriate treatment plan. It uses digital subtraction fluoroscopy, a CT or MRI scan, and a contrast dye to locate CSF leaks. This test is considered the gold standard for diagnosing and locating CSF leaks. These images track the flow of CSF, which will be abnormal if there is an active spinal CSF leak. Then, images of the area are taken several times within a 24-hour period. This test involves measuring the CSF pressure and then injecting a chemical into the space surrounding the spinal cord. This imaging test uses a contrast agent, gadolinium, to better highlight abnormalities in the brain or spine that result from a CSF leak. Tests to diagnose a spinal CSF leak may include: The flexibility of your joints also may be checked. © Copyright Merative 2023 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.Your doctor will likely start with your medical history and a physical exam. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. It is not intended as medical advice for individual conditions or treatments. The above information is an educational aid only. You always have the right to refuse treatment. Discuss treatment options with your healthcare providers to decide what care you want to receive. Learn about your health condition and how it may be treated. You have the right to help plan your care. When should I seek immediate care or call 911?
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