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Related Experiment Videos

Cerebrospinal fluid rhinorrhea: an allergist's perspective

A C Dalton1

  • 1Louisiana State University School of Medicine, New Orleans.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|February 1, 1995
PubMed
Summary

Cerebrospinal fluid rhinorrhea can mimic allergy symptoms like profuse rhinorrhea. Physicians should consider this diagnosis in patients with persistent nasal discharge, especially when accompanied by nighttime coughing and choking.

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Profuse rhinorrhea is often evaluated for allergies.
  • Unexplained persistent nasal discharge can be perplexing for clinicians.

Observation:

  • Three patients presented with symptoms mimicking allergic rhinorrhea.
  • Nasal discharge was profuse, requiring towels.
  • Patients experienced nighttime coughing and choking.

Findings:

  • All three patients were ultimately diagnosed with cerebrospinal fluid rhinorrhea.
  • Cerebrospinal fluid (CSF) leakage from the nose was confirmed.
  • Positional changes, like lying face down, increased discharge rate.

Implications:

  • Physicians must consider CSF rhinorrhea in differential diagnosis of rhinorrhea.

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  • Alertness to specific symptoms aids in early diagnosis.
  • Prompt diagnosis and management are crucial for preventing complications.