I totally believe that CSF rhinorrhea saved me from dieing

[Guest guest]

(I think fungal miningitis well have tiny thin streaks of white as mine did and

I know something else, it not only relieves the headacke but also the back pain

caused by spinal fungal infection. and theres no longer one single doubt in my

mind that this happening during my second exposure is the only thing that saved

me from dieing. now I've wondered, would csf rhinorrhea also get rid of the

fungal infection sence it is coming out with the csf?

I believe it does. and no this was not spontanious csf leaks. THE PROOF OF THAT

IS BECAUSE THE AMOUNT OF FLUID INCREASED.)

CSF RHINORRHEA

CSF rhinorrhea results from a breakdown of the dura and supporting structures of

the skull base resulting in a connection between the subarachnoid space and the

nose. It may be a complication of trauma, tumor ablation, paranasal sinus

disease, or surgery. Regardless of etiology, the mechanism is essentially the

same. There is a disruption of the arachnoid and the dura, coupled with an

osseous defect, and a CSF pressure gradient that is either continuously or

intermittently greater than the healing tensile strength of the disrupted

tissue. This causes separation of the dural fibers and CSF leakage.

Specifically a persistent clear nasal discharge that is unilateral would suggest

a diagnosis of CSF rhinorrhea. The flow may change with alterations in posture.

When supine, the patient may complain of a postnasal drip. A salty taste may

also be noted. Cessation of flow is frequently associated with headache, which

is relieved by the onset of flow.

CSF can also be confirmed in the laboratory. It is odorless, salty, and has a

specific gravity of 1.006. The protein level is much less than nasal fluid,

while the chloride level is greater. More importantly, CSF has a greater

concentration of glucose than mucus or lacrimal secretions. The quantitative

determination of a glucose level in nasal fluid not contaminated by blood can be

diagnostic of CSF rhinorrhea if the nasal fluid contains more than 30mg/dl.

Negative test results for glucose virtually eliminate the possibility of CSF.

Cessation of flow is frequently associated with headache, which is relieved by

the onset of flow.

CSF rhinorrhea may occur directly through the anterior cranial fossa or

indirectly from the middle or posterior fossa via the Eustachian tube. More

specifically, these portals of entry may take place across the frontal sinus,

cribriform plate of the ethmoid, the sphenoid sinus, the sella, or via the

temporal bone from the middle ear and through the Eustachian tube

A patient with repeated episodes of meningitis should also prompt further

investigation of a dural tear.

http://www.bcm.edu/oto/grand/120398.html