Tuesday, May 08, 2018

Woman's 'Allergies' Were Actually Cerebrospinal Fluid Leak

When a lady complained to doctors of an unusually runny nose, headaches and trouble getting to sleep, they put her symptoms down to an allergy. But years later, specialists confirmed her “waterfall” nose was in fact caused by fluid leaking out of her brain. 

The lady first noticed the symptoms following a car accident in 2013, when she hit her head on the dashboard.  “The running nose was like a waterfall, continuously, and then it would run to the back of my throat,” she told local news station.

“I couldn’t sleep,” she continued. “I was like a zombie.”

After years of struggling, she visited the ear, nose and throat clinic at a hospital. Doctors there diagnosed her with a cerebrospinal fluid leak (CSF). She was found to be losing, on average, half a pint of brain fluid every day, she told.

Cerebrospinal fluid circulates through the brain's ventricles and around the spinal cord. A leak can happen when the watery liquid seeps through a layer in the brain called the dura, the skull itself, or out through the nose or ear, according to literature from the doctors.
Head injuries or damage caused by brain or sinus surgery can cause the fluid to leak. Symptoms include headaches, a runny nose, visual disturbances, tinnitus and a potentially deadly bout of meningitis. These symptoms get markedly worse when the person sits or stands, according to the doctors.

CSF will often heal on its own. However, due to the risk of meningitis more severe cases of the condition can be treated with endonasal endoscopic surgery—where medics operate on a patient using a camera and tools sent through the nose.

In this lady's case, doctors used her fatty tissue to plug the leak. She is now recovering following surgery earlier this year. 

“I don’t have to carry around the tissue anymore and I’m getting some sleep,” she told .

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