Nasal cerebrospinal leaks in the milieu of COVID-19 pandemic

Sharipov, O.I.; Chenikova, N.A.; Abdali, A.; Chavda, V.; Shelesko, E.V.; Kutin, M.A.; Ershova, O.N.; Kalinin, P.L.; Chaurasia, B.

Авторы: Sharipov O.I., Chenikova N.A., Abdali A., Chavda V., Shelesko E.V., Kutin M.A., Ershova O.N., Kalinin P.L., Chaurasia B.
Журнал: BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA
Том: 42
Номер: 3
Год издания: 2023
Первая страница: 239
Последняя страница: 245
Аннотация: https://www.researchgate.net/publication/369088457_Nasal_cerebrospinal_leaks_in_the_milieu_of_COVID-19_pandemic Background: The unintentional ingestion of oropharyngeal or gastric contents into the respiratory tract is known as aspiration. Rhinorrhea can cause aspiration pneumonia (cerebrospinal fluid leakage). Objective: There are only a few reports in the literature about pneumonia as a complication of rhinorrhea. There are no reports on how to handle such cases if they present to the clinic at the peak of COVID-19 disease and distinguish between these two conditions. Methods: We reviewed the literature and retrospectively analyzed the clinical information and treatment protocols used to treat the two clinical cases. Results: By screening the COVID-19 PCR and antibodies more than twice, surgery was postponed for 10- 14 days in both cases to rule out COVID-19-induced pneumonia. Chest CT scans still revealed ground glass opacities. In both cases, the skull base defect was repaired. In both cases, radiological signs of rhinorrhea-induced pneumonia had completely resolved at the 24- and 30-day follow-ups. Conclusion: CSF aspiration causes radiological changes in the lungs in rhinorrhea. This is a short-term local decrease in lung tissue airiness (partial filling of alveoli with fluids), which is visible radiographically (ground-glass opacities). To rule out COVID-19 infection, surgery should be postponed for 10-14 days, and PCR and antibodies (IgG, IgM) should be performed at least twice. If the COVID-19 screening test is negative, repair surgery can be scheduled. Keywords: CSF liquorrhea, COVID-19, aspiration, pneumonia, skull base repair surgery.
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Nasal cerebrospinal leaks in the milieu of COVID-19 pandemicстатья

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