The shocking story of a man in his 20s who went untreated after a car accident left him with cerebrospinal fluid leaking from his nose for six years.
Recently, foreign media such as British media The Sun and Daily Star reported the story of Mr. A, a man in his 20s from Syria who had a runny nose for six years after suffering a head injury in a car accident. .
At the time, Mr. A did not get treatment because he thought his condition was just a cold. Afterwards, Mr A suffered from headaches and seizures and a runny nose. The constant runny nose was interfering with my daily life.
Meanwhile, Mr. A was recently admitted to the hospital and was treated for meningitis and underwent a magnetic resonance imaging (MRI) test. As a result, he was diagnosed with a ‘traumatic brain herniation’.
Traumatic brain herniation is a disease in which the skull is broken and brain tissue comes out through the nasal cavity. The fluid he thought was snot for six years turned into cerebrospinal fluid, which protects the brain and spine.
Syrian medical staff explained, “Since cerebrospinal fluid plays a role in cushioning and protecting the brain, a leak of cerebrospinal fluid can damage the blood supply and brain function.” When Mr A was taken to hospital after the car accident, he had not received the first treatment and was leaking cerebrospinal fluid.
The attending physician performed surgery to repair the damaged brain and reconstruct the fractured base of the skull, including returning tissue that had penetrated the nasal cavity to prevent obstruction. on cerebrospinal fluid leakage. The outcome of the surgery was good. Two months later, Mr. A had no headaches or seizures, and no cerebrospinal leakage.
When cerebrospinal fluid leaks out of the nose, clear nasal mucus continues to flow. To distinguish between cerebrospinal fluid and a runny nose, you can put pressure on your stomach. A runny nose doesn’t come out anymore when you push your stomach, but the amount of cerebrospinal fluid release increases when you put pressure on your stomach.
Causes of cerebrospinal fluid leaking from the nose include head trauma, spinal cord injury, surgery or tests on the head and spine, and epidural injections for pain relief. . Symptoms of suspected cerebrospinal fluid leakage include, in addition to a runny nose, symptoms of low blood pressure, visual impairment, seizures, tinnitus/hearing loss, loss of smell, and slurred speech.
If suspicious symptoms appear, you should not blow your nose, use a straw, or blow with your mouth. It is also necessary to visit a hospital and undergo a computed tomography (CT) or magnetic resonance imaging (MRI) test.
The patient must be hospitalized to stop the cerebrospinal leak. At this time, raise your head a little and refrain from blowing your nose or blowing your nose strongly. This is because when you blow your nose, air spreads from your nose to other parts of your face or head.
During this process, antibiotics are given to prevent various infections. If cerebrospinal fluid continues to leak, a needle may be inserted into the lower back to drain the fluid. If fluid continues to leak, plug the leak. If there is severe bleeding, surgery is performed to remove damaged blood vessels.
2024-09-29 12:48:58
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