RAZVAN HAINAROSIE, TEODORA GHINDEA, IRINA GABRIELA IONITA, MURA HAINAROSIE, CRISTIAN DRAGOS STEFANESCU, VIOREL ZAINEA, ANDREEA RUSESCU, SILVIU PITURU1,CATALINA PIETROSANU THE USE OF METHYLENE BLUE STAINING TEST IN DETERMINING THE CSF LEAKS LOCATION OF THE ANTERIOR SKULL BASE Cerebrospinal fluid rhinorrhea represents drainage of cerebrospinal fluid into the nasal cavity. The first steps in diagnosing CSF rhinorrhea are a thorough history and physical examination of the patient. Other diagnostic procedures are the double ring sign, glucose content of the nasal fluid, Beta-trace protein test or beta 2-transferrin. To establish the exact location of the defect imagistic examinations are necessary. However, the gold standard CSF leakage diagnostic method is an intrathecal injection of fluorescein with the endoscopic identification of the defect. In this paper we analyze a staining test, using Methylene Blue solution, to identify the CSF leak’s location.
Keywords: Methylene Blue staining test, CSF leaks, anterior skull base