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Hindi Research Article, J Otol Rhinol Vol: 2 Issue: 3
Non-invasive Radiologic Evaluation of Intermittent CSF Rhinorrhea
| Seema Jeswani1, Sachin Gupta1, Mari Hagiwara2 and Richard A Lebowitz1* | |
| 1Department of Otolaryngology, New York University School of Medicine, New York, NY, USA | |
| 2Department of Radiology, New York University School of Medicine, New York, NY, USA | |
| Corresponding author : Richard A Lebowitz Department of Otolaryngology, New York University School of Medicine, 345 East 37th Street, Suite 306, USA Tel: (646)754-1209; Fax: (646)754-1223 E-mail: Richard.Lebowitz@nyumc.org. |
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| Received: April 02, 2013 Accepted: July 02, 2013 Published: July 08, 2013 | |
| Citation: Jeswani S, Gupta S, Hagiwara M, Lebowitz RA (2013) Non-invasive Radiologic Evaluation of Intermittent CSF Rhinorrhea. J Otol Rhinol 2:3. doi:10.4172/2324-8785.1000123 |
Abstract
Non-invasive Radiologic Evaluation of Intermittent CSF Rhinorrhea
Background: Cerebrospinal fluid (CSF) fistulae that present as intermittent rhinorrhea can be a diagnostic challenge. Many imaging modalities are currently used for detection of a CSF fistula, including invasive techniques such as CT Cisternography and Radionuclide Cisternography. The purpose of this study is to present our experience with non-invasive imaging of intermittent CSF rhinorrhea.
Methods: Retrospective chart review of New York University Medical Center patient database with suspected intermittent CSF rhinorrhea.
Results: Nine patients were included in this study; a β2-transferrin assay was performed when possible. All patients had imaging that included High-Resolution CT (HRCT), MR Cisternography (MRC), or a combination of the two. When HRCT was combined with MRC the sensitivity and accuracy of detecting and localizing a CSF fistula were both 100%.
Conclusion: Intermittent CSF rhinorrhea may be evaluated with HRCT and MR Cisternography, as these two modalities have good reliability and are non-invasive techniques.
