Head or spine MRI to detect evidence of sinking of the brain, collapse of the superior opthalmic vein, subdural fluid collection, decrease in ventricular size and prominent dural sinuses, extra-arachnoid fluid, meningeal diverticuli, meningeal enhancement, or engorgement of epidural venous plexi.Head CT with reconstructive views to view skull base fracture anatomy.Tests not requiring lumbar puncture include: This study is somewhat invasive, requiring injection of material into the spinal canal. Radioisotope cisternography characteristically shows a decrease or absence of activity over the cerebral convexities and early accumulation of radioisotope in the bladder.Radiologic studies are also useful however, they may be impractical if one does not know the level of the leak.Radioactive label or a fluorescent dye injected into the spinal fluid to test for the label or dye in the fluid.There is some danger of exacerbating an existing leak or causing a new one leak with a lumbar puncture, and the risks/benefits must be carefully considered. In this situation, leaks may recur until the cerebral ventricles are shunted. Other conditions to exclude when considering the diagnosis of CSF leak are orthostatic hypotension (which can cause dizziness on standing), positional vertigo due to inner ear disturbances, and orthostatic tremor.ĬSF leaks can also result from high-pressure hydrocephalus. CSF leaks have been reported due to cervical bone spurs. Speculatively, it would seem possible that CSF leaks might occur after whiplash injury, as frequently there are persistent similar symptoms without findings on other studies. Spontaneous leaks from the nose are uncommon. In this case, the leak is at the site of the puncture. CSF leaks can also occur in the nose after trauma or surgery.ĬSF leaks may follow diagnostic or therapeutic lumbar puncture as well as spinal anesthesia and after an inadvertent puncture of the dura following epidural anesthesia or epidural steroid injections. Sometimes they are unintentional consequences of an overdraining CSF shunt, placed for CSF hypertension. Spontaneous leaks are most commonly at the level of the spine, particularly the thoracic spine and cervicothoracic junction. Traumatic CSF leaks are usually present following basilar skull fractures with either leakage from the nose (rhinorrhea) or ear (otorrhea). It seems likely that these cases are often missed. Symptoms from the leak can be delayed for as long as a month. These symptoms are rather nonspecific as they are commonly encountered in migraine and post-traumatic headache.Ĭognitive decline has also been noted. Change in hearing (hearing loss of CSF leak likely results from lowering of CSF pressure, which lowers inner ear pressure).Headaches, which are more severe in the upright position and are alleviated by lying down with the head lower than the chest.Personally visits the Medanta for returning the Device.Cerebrospinal Fluid (CSF) depletion may be caused by a leak, a shunt, inadequate production or too-rapid absorption. Refund of DepositĪmount shall be made through the same mode of payment as that of purchase in cases where the User The refund of DepositĪmount shall be subject to return of the Device in working and undamaged condition. In cases where the User has opted for availing the Services through rented Device, a refundable depositĪmount of ₹ 5,000 (“ Deposit Amount”) shall be applicable and paid by the User. The extended program availed by the User shall be activated automatically on expiry of existing program of services. For the said purposes, the User can call our helpline number +414 or visit Provided that the Device has not been unboxed.īefore the expiry of service duration, the User can extend the services by availing various program Service on the day of purchase in which case, full amount of service fees shall be refunded to the User The services once availed cannot be cancelled except in cases where the User requests to cancel the Neither does Medanta endorse or promote the Device in any manner nor will Medanta be liableįor any claims, representations or warranties, whether express or implied as to the safety, reliability,ĭurability and performance of the device. Of services by Medanta is being provided on “as is” and “as available” basis through Alivecor India Private The User hereby agrees and acknowledges that the Device (hardware and software) used in the provision The User agrees and acknowledges that the User has read, understood and accepts the terms and conditions contained in the brochure provided with the Device (“ Device”) with respect to its usage, operations, return / replacement and warranty policy.
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