Cerebrospinal fluid leak
From IDWiki
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
References
- ^ Allan R. Tunkel, Rodrigo Hasbun, Adarsh Bhimraj, Karin Byers, Sheldon L. Kaplan, W. Michael Scheld, Diederik van de Beek, Thomas P. Bleck, Hugh J.L. Garton, Joseph R. Zunt. 2017 Infectious Diseases Society of America’s Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis*. Clinical Infectious Diseases. 2017;64(6):e34-e65. doi:10.1093/cid/ciw861.
