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The Spinal Fluid which is also look up to as Cerebrospinal Fluid or CSF is a fluid that fence the brain . The primary function of spinal fluid is to act as a shock absorber for the encephalon and the key flighty system and keep the brain from any harm . The Spinal Fluid also distribute food from the blood in the learning ability and permit is to function commonly .
The Spinal Fluid is commonly in a solitary area in the skull and goes down the backbone but at times due to some unexpected injury to the head or due to some other causal agent the bone which prevent the spinal fluid from seep from the brain cavity into the nasal cavity gets damaged resulting in the Spinal Fluid insert the os nasale cavity . This is what is termed as a Spinal Fluid Leak .
An individual with a Spinal fluid leak will complain of persistent vexation and invariant nasal drainage normally from one olfactory organ . The drainage from the nose increases whenever the somebody does any strenuous bodily process like bending over to cull something up . A spinal fluid leak can be easy diagnosed with advanced imaging in the phase of role player anMRI scanof the brain andsinuses .
How is Spinal Fluid Leak Fixed?
A spinal fluid leak as a effect of a head injury or trauma is fixed conservatively by placement of a lumbar drain placed in the back which enfeeble out the spinal fluid in small amounts . This results in decreasing any pressure that may have been make due to the injury result in Spinal Fluid Leak . Post placement of the waste pipe , the patient is advised perfect bedrest and is also abstained from any strenuous activity to permit the condition to bring around by itself .
In cases where a cause for CSF Leak can not be establish then surgical procedure is require to fix the spinal fluid leak . The surgery can be done through two approaches of which one is through the brain and the other is through the sinus . The latter is the most preferred class of surgery to ready the Spinal Fluid Leak as it has fewer peril and the outcome is also more golden than the overture through the wit .
The surgical approach to fix the spinal fluid leak through the head need an incision to be made through the skull and draw the mental capacity slightly by from the skull base in order of magnitude to identify the defect , and once identified , fix the blemish . Such a procedure requires a brain surgeon and is done under universal anaesthesia . However , the loser rate of this procedure to fix spinal fluid leak is estimated to be close to about 30 % . This is precisely the reasonableness why this surgical approach for fixing spinal fluid news leak is no longer preferred .
The much preferred sinus approach towards fixing spinal fluid news leak requires preoperative images to identify the exact localization of the defect . Once the location of the fault is identified , the sinus are open up under direct visualization through an endoscope and the mucous membrane is off to allow clear-cut visualisation of the defect . In typesetter’s case if the defect is small then only one layer of support over the defect is sufficient to fix the spinal fluid outflow . In casing if the flaw is gravid then the operating surgeon may place a layer of support between the brain and the eubstance side of the defect , along with another layer as support in the sinus side of the flaw .
Once a complete fix of the defect is confirmed and the surgeon is certain that there is no more spinal fluid leak then more packing is place to for good shut the mar and fix spinal fluid leak . The patient is then sent to the postoperative unit where the soul is note for at least a point of 24 hours and is then discharged . It normally takes around 4 - 6 weeks for an somebody to entirely recover from surgery to fix spinal fluid leak .
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