Mahmud et al in Bangladesh reported most frequent presenting symptom to be nasal obstruction (83.3%), followed by
rhinorrhea (75.0%), Recurrent URTI (66.6%), Sneezing (62.5%) and Postnasal discharge (58.33%)16.
Conclusion: Transcranial dural repair is the safe and effective way to treat post-traumatic CSF
rhinorrhea and prevent its complications.
In the patient in this study, clinical symptoms (headache, nausea, and vomiting without
rhinorrhea) occurring after paranasal sinus surgery were strongly indicative of pneumocephalus, intracranial hemorrhage, or cranial stroke.
In our previous series, three of the six CSF
rhinorrhea cases developed meningitis, whereas no meningitis cases occurred in the present cohort.
Accompanying symptoms, including
rhinorrhea and sneezing, are usually controlled pharmacologically with intranasal steroids and/or antihistamines.
At this time, there was high clinical suspicion of CSF
rhinorrhea. Computerized tomography (CT) scan of the sinuses initially indicated findings consistent with chronic sinusitis.
The watery
rhinorrhea persisted for the next 2 days, and the headache became intolerable.
On each nasal symptom, nasal itching and sneezing represent main characteristic symptoms besides nasal obstruction and
rhinorrhea in AR [31].
Of note: A 2014 meta-analysis found that a leukotriene receptor antagonist (LRA) (montelukast) had efficacy similar to oral antihistamines for symptom relief in AR, and that LRAs may be better suited to night-time symptoms (difficulty falling asleep, nighttime awakenings, congestion on awakening), while antihistamines may provide better relief of daytime symptoms (pruritus,
rhinorrhea, sneezing).
He had a CSF
rhinorrhea caused by head injury from a car accident 9 years ago, and his CSF leak resolved after conservative treatment.
Of the 24 tested patients aged [greater than or equal to] 3 years with sore throat, 19 (79%) reported cough or
rhinorrhea, symptoms that suggest a viral rather than bacterial etiology (1).
Symptoms include
rhinorrhea, epistaxis, and nasal obstruction.