Cerebrospinal fluid leak: Difference between revisions
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==Background== |
==Background== |
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*CSF leaks are associated with a high risk of meningitis (10-25%, depending on etiology and chronicity) |
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*May be spontaneous, traumatic, or post-neurosurgical |
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==Management== |
==Management== |
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*Current IDSA guidelines[[CiteRef::tunkel201720]] recommend: |
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**No routine prophylactic antibiotic in patients with basilar skull fractures and CSF leak |
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**Surgical repair if leak lasts more than 7 days |
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**Pneumococcal vaccination |
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==Further Reading== |
==Further Reading== |
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*Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis. ''Clin Infect Dis''. 2017;64(6):e34-e65. doi: [https://doi.org/10.1093/cid/ciw861 10.1093/cid/ciw861] |
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[[Category:CNS infections]] |
[[Category:CNS infections]] |
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Revision as of 23:41, 19 October 2020
Background
- CSF leaks are associated with a high risk of meningitis (10-25%, depending on etiology and chronicity)
- May be spontaneous, traumatic, or post-neurosurgical
Management
- Current IDSA guidelines1 recommend:
- No routine prophylactic antibiotic in patients with basilar skull fractures and CSF leak
- Surgical repair if leak lasts more than 7 days
- Pneumococcal vaccination
Further Reading
- Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis. Clin Infect Dis. 2017;64(6):e34-e65. doi: 10.1093/cid/ciw861
