Cerebrospinal fluid leak diagnosis

The human brain is washed with about 150 ml of liquor. It is a closed system that works almost "hermetically. " With "depressurization," the cerebrospinal fluid (a clear, odorless liquid) can flow out of the ear or nose, often accompanied by disturbances of consciousness and headaches. It's important to understand that even a tiny break in bone tissue can result in a substantial loss of cerebrospinal fluid volume. Identifying the cause of the illness is crucial to create a treatment plan. Therefore, the doctor begins by gathering information from the patient regarding the intensity, frequency, and changes in symptoms. Making an initial diagnosis requires taking this critical step. Doctors may order a sugar level analysis on the fluid secreted from the nose to diagnose a potentially severe rhinitis condition with similar symptoms. A handkerchief test may also be prescribed where the patient instills nasal discharge onto a dry cloth or gauze to determine if it is transparent, cloudy, and sticky due to mucin discharge. Radiographic tomographic images are used to confirm the diagnosis. The patient undergoes an MRI of their back and head as part of the examination. To ensure even the tiniest hole in the spine's hard shell is detected, physicians might conduct ultrasound, CT myelography, infusion test, and myelography. If inflammation is suspected, a lumbar puncture is performed.