Liquorrhea - a condition that occurs when damage to the dura mater, when there is a loss of cerebrospinal fluid (CSF).Typically, the liquid flowing transparent and has no color, but it is possible inflammation blurred.Loss of cerebrospinal fluid can flow completely unnoticed by the patient, while it flows into the nasopharynx, or impregnated into the subcutaneous tissue.The danger of this condition is that these sag can become infected, leading to the development of meningitis, encephalitis, myelitis and other inflammatory processes.
About that liquorrhea is and why it occurs is written much.Let's We will understand the basic concepts in that are present at the same symptom.At the expiration of the cerebrospinal fluid may be several reasons.The most common ones are:
- Traumatic brain injury when there is damage to the bones of the skull, for example - the temporal bone or the anterior cranial fossa.Such a condition is known as post-tra
- Neurosurgical operations.
- growing tumor in the base of the skull.
- Malformations of the central nervous system, for example - the presence of spinal hernia or traumatic brain herniation.
Localization liquorrhea can also be divided into several types.The most common is the one that is called a nasal or nasal.The second highest frequency of the ear may be noted the expiration of liquor.In third place - the loss of fluid from the surgical wound, despite the fact that it is sewn.Finally, the least frequently encountered okuloreya, ie liquor flows from the eye in the form of tear fluid.
This expiration can be constant or periodic.Periodic liquorrhea only occurs when changing body position.At the outflow of the fluid can be divided into drip and jet.
times from the moment of injury until the expiration of liquor passes fairly long period.This is especially true liquorrhea nasal symptoms is difficult to confuse with other diseases.However, in some cases, this condition can arise due to trauma, and after any surgical procedure, such as removal of a polyp.And sometimes to find out the reasons for the loss of CSF is impossible - this is called spontaneous liquorrhea.
main symptom - is leaking from the nose light, clear liquid, but in some cases it may have streaks of blood or pale pink.This happens most often from one nostril, and when tilting the head forward.This may be other symptoms such as nocturnal cough.
course, a constant flow of fluid from the nose - unpleasant phenomenon.This could severely limit the physical or social sphere of human activity.However, few people know that the main danger of this state to the complications.First and foremost is to think about the development of meningitis, which occurs at the transition of the inflammatory process of the nasal cavity in the skull cavity.At the same time the duration of the expiration of the cerebral fluid and depends on the intensity of the inflammation of the brain.Meningitis can also cause death of the patient.
second no less dangerous complication of nasal livkorei - it pnevmotsefaliya at which air enters the inside of the skull.It is also a great danger are bronchitis and pneumonia or gastritis in contact with a large number of fluid in the stomach.
Treatment Any manifestations liquorrhea require hospitalization, more often is the separation of neurology.There will be treated according to the symptoms.This should start with conservative therapy.Appointed by bed rest for 2, and sometimes 3 weeks.At the same time the patient must find a position in which the liquid flow stops completely.It should also be very careful when coughing or sneezing, as it will increase intracranial pressure, and lead to further expiration of liquor.
to prevent infection antibiotic therapy is conducted, but the drug should only choose the doctor.
If therapy does not give a result, the surgery is performed by a specially developed method.However, against the background of an acute craniocerebral trauma surgery can be done no sooner than 3 weeks from the date of injury, of course, if liquorrhea not stopped.Before planning the operation, it is necessary to make a differential diagnosis with this condition as rhinorrhea.