A patient walks in with a persistent runny nose. Is it allergies, or something more dangerous? In this episode of the BackTable ENT Podcast, two renowned rhinologists, Dr. Satyan Sreenath
and Dr. Sanjeet Rangarajan, delve into the evaluation and management of cerebrospinal fluid (CSF) leaks at the anterior skull base with host Dr. Gopi Shah.

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SYNPOSIS

The discussion encompasses patient presentations, differential diagnosis, physical examination, and imaging techniques for localization. They also explore the impact of underlying conditions such as idiopathic intracranial hypertension (IIH) and obstructive sleep apnea (OSA) on CSF leaks. Dr. Sreenath and Dr. Rangarjan offer insight into diagnostic strategies, patient management, and surgical planning, providing a comprehensive overview of best practices in managing this complex condition.

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TIMESTAMPS

00:00 - Introduction
02:48 - Patient Presentation and Initial Evaluation
04:45 - Common Symptoms and Diagnostic Challenges
06:02 - Risk Factors and Etiologies of CSF Leaks
10:59 - Management and Treatment Approaches
16:55 - Physical Examination and Diagnostic Techniques
22:35 - Patient Instructions for Sample Collection
24:29 - Differentiating CSF Leaks from Other Conditions
26:12 - Endoscopic Examination Techniques
30:21 - Imaging and Diagnostic Approaches
33:14 - Surgical Planning and Considerations
45:23 - Concluding Thoughts

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RESOURCES

Satyan Sreenath
https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999

Sanjeet Rangarajan
https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-1649568395