CSF (cerebral spinal fluid leak) Leak

Occurs following fracture through the cribiform plate (the roof of the nasal cavity), resulting in the leakage of CSF out via the nose

Clinical presentation

  • Persistent clear rhinorrhoea
  • Headache

Management

  • Often settle spontaneously
  • Need repair if does not resolve within 10 days
  • Do not give antibiotics initially - can mask meningitis