Cerebrospinal Fluid Rhinorrhea Quiz
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Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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Green mucus from nose
Fall from a height
Sneezing when the surroundings suddenly get cold
It all started with a runny nose
High speed impact with head injury
Runny nose when the air is dry
Nose symptoms are the worst symptom that I have trouble with
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Learn more about Cerebrospinal fluid rhinorrhea
Content updated on Nov 7, 2023
What is cerebrospinal fluid rhinorrhea?
Cerebrospinal fluid (CSF) rhinorrhea is a condition where CSF, the fluid surrounding the brain, leaks into the nose and sinuses. Common causes include head trauma, sinus or skull base surgery, or increased pressure inside the skull and brain tissue. In some cases, the leak is spontaneous and the cause is unknown. Headache is a common accompanying symptom.
Symptoms of cerebrospinal fluid rhinorrhea
Runny nose
Injury to the head
Bloodstains in mucus
Questions your doctor may ask to check for cerebrospinal fluid rhinorrhea
Your doctor may ask these questions to diagnose cerebrospinal fluid rhinorrhea
Do you have a runny nose?
Did you hit your head?
Do you have thin, blood stained nasal discharge?
Treatment for cerebrospinal fluid rhinorrhea
CSF rhinorrhea from small leaks may only require bed rest and medication. However, spontaneous leaks or leaks due to skull fracture typically need to be repaired by surgery.
View the symptoms of Cerebrospinal fluid rhinorrhea
Diseases related to Cerebrospinal fluid rhinorrhea
References
Hiremath SB, Gautam AA, Sasindran V, Therakathu J, Benjamin G. Cerebrospinal fluid rhinorrhea and otorrhea: A multimodality imaging approach. Diagn Interv Imaging. 2019 Jan;100(1):3-15. doi: 10.1016/j.diii.2018.05.003. Epub 2018 Jun 15. PMID: 29910174.
https://www.sciencedirect.com/science/article/pii/S2211568418301396?via%3Dihub
Oakley GM, Alt JA, Schlosser RJ, Harvey RJ, Orlandi RR. Diagnosis of cerebrospinal fluid rhinorrhea: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2016 Jan;6(1):8-16. doi: 10.1002/alr.21637. Epub 2015 Sep 15. PMID: 26370330.
https://onlinelibrary.wiley.com/doi/10.1002/alr.21637
Coucke B, Van Gerven L, De Vleeschouwer S, Van Calenbergh F, van Loon J, Theys T. The incidence of postoperative cerebrospinal fluid leakage after elective cranial surgery: a systematic review. Neurosurg Rev. 2022 Jun;45(3):1827-1845. doi: 10.1007/s10143-021-01641-y. Epub 2021 Sep 9. Erratum in: Neurosurg Rev. 2022 May 6;: PMID: 34499261.
https://link.springer.com/article/10.1007/s10143-021-01641-y
Prosser JD, Vender JR, Solares CA. Traumatic cerebrospinal fluid leaks. Otolaryngol Clin North Am. 2011 Aug;44(4):857-73, vii. doi: 10.1016/j.otc.2011.06.007. PMID: 21819876.
https://www.sciencedirect.com/science/article/abs/pii/S0030666511000983?via%3Dihub
Yilmazlar S, Arslan E, Kocaeli H, Dogan S, Aksoy K, Korfali E, Doygun M. Cerebrospinal fluid leakage complicating skull base fractures: analysis of 81 cases. Neurosurg Rev. 2006 Jan;29(1):64-71. doi: 10.1007/s10143-005-0396-3. Epub 2005 Jun 4. PMID: 15937689.
https://link.springer.com/article/10.1007/s10143-005-0396-3
User testimonials
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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