NeurologyENT
CSF Rhinorrhoea / Otorrhoea
Identify CSF leak (β2-transferrin), distinguish traumatic vs spontaneous, conservative vs surgical repair, antibiotic role.
Source: ENT UK; ABN
Step 1 of ~5
info
Recognise
Clear unilateral nasal discharge ('halo sign' on tissue paper — central blood ringed by clear fluid), salty taste, postnasal drip, recurrent meningitis. Causes: head trauma (most common), iatrogenic (post-skull base / nasal surgery), tumour, congenital, idiopathic / spontaneous (often associated with raised ICP — IIH).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Cefazolin (Surgical Prophylaxis) · 1st Generation Cephalosporin (Surgical Antibiotic Prophylaxis)
- Clindamycin (Surgical Prophylaxis — Penicillin Allergy) · Antibiotic (Lincosamide) — Surgical Prophylaxis
- Teicoplanin (Surgical Prophylaxis/MRSA) · Glycopeptide Antibiotic
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Doxycycline 100mg (Acne / Rosacea) · Oral tetracycline antibiotic (anti-acne / anti-rosacea)
- Lymecycline 408mg (Acne) · Oral tetracycline antibiotic (anti-acne)
Pathways
- Acute Stroke / TIA Assessment · NICE NG128; RCP Stroke Guidelines 2023
- Status Epilepticus (Adults) · NICE CG137; ESEM guidelines; RCP Neurology Guidelines
- Suspected Subarachnoid Haemorrhage · NICE NG228; RCEM 2023; AHA/ASA 2023
- Adult Head Injury · NICE NG232 (2023)
- Bell's Palsy / Facial Nerve Palsy · ENT UK 2017; AAN
- Vertigo Workup · ENT UK; NICE CKS
Decision support only. Always apply local guidelines and clinical judgement.