Efficacy Of Conservative Management Of Early Post Traumatic Cerebrospinal Fluid Rhinorrhoea.

Area of Science:

• Neurosurgery
• Trauma Care

Background:

• Post-traumatic Cerebrospinal Fluid Rhinorrhoea (PCSFR) incidence has decreased with advanced treatments.
• Early PCSFR management efficacy requires further assessment.

Purpose of the Study:

• To evaluate the effectiveness of conservative management for early PCSFR.
• To identify demographic and etiological factors influencing PCSFR outcomes.

Main Methods:

• Cross-sectional study at Ayub Medical Institute, Abbottabad.
• Included patients aged 5-50 with traumatic brain injury and CSF rhinorrhoea within 7 days.
• Excluded patients with penetrating head injuries, fever, neck stiffness, or nasal fractures.

Main Results:

• 120 patients (72% male, mean age 27) were studied.
• Road Traffic Accidents (RTA) were the most common cause (54%).
• Conservative treatment succeeded in 52% of patients, notably in the third decade (50%) and RTA patients (54.83%).

Conclusions:

• PCSFR is prevalent in middle-aged males, with RTA as the primary cause.
• Conservative management is effective for the majority of PCSFR patients.
• Optimal response to conservative PCSFR management observed in the third decade of life.