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If there is a clinical concern for a CSF leak he will organise investigations to test fluid from the nose and imaging such as CT or MRI scans to identify the cause and location of the CSF leak.

Presenting signs of a cranial cerebrospinal fluid (CSF) leak include persistent headaches; discharge of clear, watery, and sometimes bloody fluid from the ear or nose, which is affected by bodily position; and postnasal drip with a salty taste.

Handker chief test: When the discharge from the nose is buried in a handkerchief or dry gauze, ... The CSF glucose from nasal or ear secretions has long been a classical method in testing。

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