CSF

Question 1

Dx CSF Rhinorrhea?

Answer 1

1. Tramline effect or Halo on pillow effect (Ring sign or target sign)
2. Beta 2 transferrin… MOST ACCURATE!!
3. Radiographically… CISTERNOGRAPHY with Metrizamide

Question 2

Rx for CAF leak (CSF RHINORRHEA) ?

Answer 2

Check -P- 4/4A

Question 3

Complications of CSF Rhinorrhea?

Answer 3

1. Ascending Meningitis

2. Pneumocephalus

Question 4

MC site of CSF Rhinorrhea?

Answer 4

Cribriform plate n air cells of ethmoid sinus…

Question 5

MC site of ANAROMIC leaks?

Answer 5

Area of congenital weakness Ant cranial fossa

Question 6

CSF leakage is Dx by all EXCEPT?

Answer 6

Dx by
1. Increase in Beta Transferrin

2. Tram line..
3. Increase in Protein level

N NOT by… Increase in Glucose…

Question 7

Enzymes detected in CSF?

Answer 7

1. Lactate Dehydrogenase ( LDH )

2. Creatine Kinase ( CK )

Question 8

CSF Rhinorrhea MC in which #??

Answer 8

Lefort 2 n 3…. n severe nasoethmoidal #….

Same ans for Epiphora also…