髄液鼻漏
WordNet
- subject to change; variable; "a fluid situation fraught with uncertainty"; "everything was unstable following the coup" (同)unstable
- a substance that is fluid at room temperature and pressure
- continuous amorphous matter that tends to flow and to conform to the outline of its container: a liquid or a gas
- in cash or easily convertible to cash; "liquid (or fluid) assets" (同)liquid
- affording change (especially in social status); "Britain is not a truly fluid society"; "upwardly mobile" (同)mobile
- characteristic of a fluid; capable of flowing and easily changing shape (同)runny
- of or relating to the brain and spinal cord; "cerebrospinal fluid"
- persistent watery mucus discharge from the nose (as in the common cold)
PrepTutorEJDIC
- 『流体』,流動体 / 『流動性の』,流動する / 流体の,流動体から成る / 変わりやすい,固定していない,浮動する
- インフルエンザ,流感
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/01/21 17:28:41」(JST)
[Wiki en表示]
Cerebrospinal fluid rhinorrhoea |
Classification and external resources |
ICD-10 |
G96.0 |
ICD-9 |
349.81 |
eMedicine |
article/861126 |
CSF rhinorrhoea refers to the drainage of cerebrospinal fluid through the nose. Measures of CSF components such as glucose have been used in the past, but are neither sensitive nor specific; beta-2 transferrin, however, has been shown to have a high positive predictive value. [1] It has also been noted to be characterized by unilateral discharge.[2]
It is a sign of basal skull fracture. Management includes watchful waiting - leaks often stop spontaneously; if this does not occur then neurosurgical closure is necessary to prevent the spread of infection to the meninges.[3]
Other signs of basal skull fracture includes CSF otorrhoea (drainage of CSF through the ear). It can have devastating complications in some patients, as the communication between the nasal cavity and the cerebrospinal fluid and CNS can result in bacterial infections of the CNS that can have catastrophic effects on the patient.[4]
CSF rhinorrhoea can also be a symptom of a pituitary adenoma.
See also
- traumatic head injury
- meningitis
- cerebrospinal fluid
- Beta-2 transferrin
References
- ^ Kerr JT, Chu FWK, and Bayles SW. Cerebrospinal Fluid Rhinorrhea: Diagnosis and Management. Otolaryngologic clinics of North America 1 August 2005 (volume 38 issue 4 Pages 597-611 doi:10.1016/j.otc.2005.03.011)
- ^ http://emedicine.medscape.com/article/861126-overview#a0112
- ^ http://emedicine.medscape.com/article/861126
- ^ http://emedicine.medscape.com/article/861126
Pathology of the nervous system, primarily CNS (G04–G47, 323–349)
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Inflammation |
Brain
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- Encephalitis
- Viral encephalitis
- Herpesviral encephalitis
- Cavernous sinus thrombosis
- Brain abscess
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Spinal cord
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- Myelitis: Poliomyelitis
- Demyelinating disease
- Tropical spastic paraparesis
- Epidural abscess
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Both/either
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- Encephalomyelitis
- Meningoencephalitis
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Brain/
encephalopathy |
Degenerative
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Extrapyramidal and
movement disorders
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- Basal ganglia disease
- Parkinsonism
- PKAN
- Tauopathy
- Striatonigral degeneration
- Hemiballismus
- HD
- OA
- Dyskinesia
- Dystonia
- Status dystonicus
- Spasmodic torticollis
- Meige's
- Blepharospasm
- Athetosis
- Chorea
- Myoclonus
- Akathesia
- Tremor
- Essential tremor
- Intention tremor
- Restless legs
- Stiff person
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Dementia
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- Tauopathy
- Alzheimer's
- Primary progressive aphasia
- Frontotemporal dementia/Frontotemporal lobar degeneration
- Pick's
- Dementia with Lewy bodies
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Mitochondrial disease
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Demyelinating
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- autoimmune
- Multiple sclerosis
- Neuromyelitis optica
- Schilder's disease
- hereditary
- Adrenoleukodystrophy
- Alexander
- Canavan
- Krabbe
- ML
- PMD
- VWM
- MFC
- CAMFAK syndrome
- Central pontine myelinolysis
- Marchiafava-Bignami disease
- Alpers' disease
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Episodic/
paroxysmal
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Seizure/epilepsy
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- Focal
- Generalised
- Status epilepticus
- Myoclonic epilepsy
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Headache
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Cerebrovascular
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- TIA
- Amaurosis fugax
- Transient global amnesia
- Acute aphasia
- Stroke
- MCA
- ACA
- PCA
- Foville's
- Millard-Gubler
- Lateral medullary
- Weber's
- Lacunar stroke
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Sleep disorders
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- Insomnia
- Hypersomnia
- Sleep apnea
- Obstructive
- Ondine's curse
- Narcolepsy
- Cataplexy
- Kleine-Levin
- Circadian rhythm sleep disorder
- Advanced sleep phase disorder
- Delayed sleep phase disorder
- Non-24-hour sleep-wake disorder
- Jet lag
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CSF
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- Intracranial hypertension
- Hydrocephalus/NPH
- Idiopathic intracranial hypertension
- Cerebral edema
- Intracranial hypotension
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Other
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- Brain herniation
- Reye's
- Hepatic encephalopathy
- Toxic encephalopathy
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Spinal cord/
myelopathy |
- Syringomyelia
- Syringobulbia
- Morvan's syndrome
- Vascular myelopathy
- Foix-Alajouanine syndrome
- Spinal cord compression
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Both/either |
Degenerative
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SA
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- Friedreich's ataxia
- Ataxia telangiectasia
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MND
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- LMN only:
- Distal hereditary motor neuropathies
- Spinal muscular atrophies
- SMA
- SMAX1
- SMAX2
- DSMA1
- SMA-PCH
- SMA-LED
- PMA
- PBP
- Fazio-Londe
- Infantile progressive bulbar palsy
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anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
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noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
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proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
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UpToDate Contents
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English Journal
- A case of sphenoid sinus meningoencephalocele repaired by an image-guided endoscopic endonasal approach.
- Sano H, Matsuwaki Y, Kaito N, Joki T, Okushi T, Moriyama H.SourceDepartment of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
- Auris, nasus, larynx.Auris Nasus Larynx.2011 Oct;38(5):632-7. Epub 2011 Mar 9.
- We report a Japanese patient with a complaint of unilateral watery nasal discharge. Analysis of the nasal discharge showed it to contain high levels of sugar and transferrin, which indicated cerebrospinal fluid (CSF) rhinorrhea. A diagnosis of sphenoid sinus meningoencephalocele was easily made on t
- PMID 21392906
- Spontaneous cerebrospinal fluid rhinorrhea as the initial presentation of growth hormone-secreting pituitary adenoma.
- Makin V, Hatipoglu B, Hamrahian AH, Arrossi AV, Knott PD, Lee JH, Sade B.SourceDepartment of Endocrinology, Endocrinology and Metabolism Institute, Cleveland, OH, USA.
- American journal of otolaryngology.Am J Otolaryngol.2011 Sep-Oct;32(5):433-7. Epub 2010 Oct 2.
- Patients with acromegaly usually present with characteristic clinical features or comorbidities associated with excess insulinlike growth factor 1 (IGF-1)/growth hormone (GH) or may come to medical attention secondary to mass effects causing visual field distortions. Herein, we report a case of spon
- PMID 20888068
Japanese Journal
- Simultaneous Occurrence of Subarachnoid Hemorrhage and Epistaxis Due to Ruptured Petrous Internal Carotid Artery Aneurysm: Association With Transsphenoidal Surgery and Radiation Therapy : —Case Report—
- ENDO Hidenori,FUJIMURA Miki,INOUE Takashi,MATSUMOTO Yasushi,OGAWA Yoshikazu,KAWAGISHI Jun,JOKURA Hidefumi,SHIMIZU Hiroaki,TOMINAGA Teiji
- Neurologia medico-chirurgica 51(3), 226-229, 2011
- … the patient did not develop symptomatic vasospasm, recurrent epistaxis, or cerebrospinal fluid rhinorrhea. …
- NAID 130000677033
- Purely Endoscopic Repair of Traumatic Cerebrospinal Fluid Rhinorrhea From the Anterior Skull Base : —Case Report—
- KOMATSU Mika,KOMATSU Fuminari,CAVALLO Luigi M.,SOLARI Domenico,STAGNO Vita,INOUE Tooru,CAPPABIANCA Paolo
- Neurologia medico-chirurgica 51(3), 222-225, 2011
- … A 38-year-old woman presented with a case of post-traumatic ethmoidal cerebrospinal fluid (CSF) leak that was repaired using a purely endoscopic endonasal approach. … The patient was discharged without clinical evidence of CSF rhinorrhea and no leaks were apparent at the 3-month follow-up clinical and radiological examinations. … Post-traumatic CSF rhinorrhea occurs in cases of dural tears associated with small bone breaks, most frequently involving the anterior skull base. …
- NAID 130000677032
Related Links
- 22 Jul 2011 ... Disruption of the barriers between the sinonasal cavity and the anterior and middle cranial fossae can lead to the discharge of cerebrospinal fluid (CSF) into the nasal cavity.
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★リンクテーブル★
[★]
- 英
- cerebrospinal fluid rhinorrhea, CSF rhinorrhea
[★]
- 関
- grippe、influenza
[★]
- 関
- craniospinal
[★]
- 同
- BALF