Specialized tests such as myelography, which takes images of the spine, spinal cord and surrounding structures to look for abnormalities.Whether the hole or tear is in the cranial area or the spine, the physician can order imaging tests to determine the exact location of the leak. The patient’s physician also may order tests to examine the condition of the brain and spinal cord. If the discharge can be collected, it is sent for laboratory tests to determine if it is cerebrospinal fluid. If a cranial CSF leak is suspected, the patient’s physician may ask them to lean forward so they can observe if this increases the flow of nasal discharge. Experts such as those in the Cedars-Sinai CSF Leak Program can be pivotal in providing relief. A CSF leak can be difficult to detect, causing misdiagnosis or delayed diagnosis. How is a cerebrospinal fluid leak diagnosed?ĭiagnosis of a CSF leak generally begins with a physical exam and history.
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