Case of CSF Rhinorrhea in Old Lady from Bhagalpur

Here is the case study of a disease CSF Rhinorrhea, in a 75 Years old lady.
She suffered from leakage of brain fluid (CSF) from her right nostrils for two and a half months.
CSF Rhinorrhea is a clinical condition where the fluid which bathes the brain and spinal cord get leaked through the nose. The most potential point is the skull base, where an area called a cribriform plate (sieve-like). Any factor which increases the CSF pressure can cause a fluid leak.
The cause can be traumatic or non-traumatic
Diagnosis is made by CT cisternography to locate the exact site of the CSF leak. It is performed after injecting contrast into the theca (spine); however, this procedure is highly dependant on patient positioning and timing.
Fluid leaked from the nose may also serve in diagnosis purpose as normal CSF glucose levels lie between 45–80 mg/dL, whereas in average nasal discharge level is 10 mg/dl.
There is another specific lab test for the CSF leak. Beta-2-transferrin is a protein found only in CSF and perilymph. Its absence in other body secretions makes its detection invaluable in diagnosing a CSF leak.

This old lady also had chronic asthma for more than 30 years, gastric trouble and hypothyroidism.
They contacted us from Bhagalpur Bihar, and in the COVID 19 Pandemic, we advised opting for online treatment only. Dr Ravi advised her to go for a CT Cisternography test, and on the test, it says – A small fluid filled tract is seen along right cribiform plate communicating with subarachnoid space – likely CSF fistula.

Her case taking was done meanwhile, and her treatment started on receiving the hair.
Within one week, her CSF leak stopped. Watch out for the story.
Dr Ravi talked with patient over the zoom call on 7th Aug 2024. She got cured for her CSF leakage, She got advised for CT Cisternography but she didd’t agreed due to her poor health. Treatment paused from our end and hair shaft preserved for future treatment if needed.

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Dr. Ravi practices in Lucknow, India. He has studied homeopathy intensively for eight years.(5 and half year undergraduate and Post Graduation in Pediatric with Homeopathic Specialty). Dr. Ravi is an nationally acclaimed homeopath Dr. and teacher. Over the years he has conducted & attended seminars and workshops for the practitioners and the students in India. About Dr.Ravi – He is also visiting lecturer to various Post Graduate Institutes of Homeopathy in India including, Foster Developments Homeopathic Medical college Aurangabad, Sri Sai Nath Post Graduate Institute of Homeopathy, Allahabad and G.D. Memorial Homeopathic Medical college and Hospital Patna. Dr.Ravi is also Examiner to Homeopathic Medical Colleges in eminent Universities. He is also a regular contributor to Various National and International Journals. He has also presented various papers to Different Homoeopathic conferences and Seminars Dr Ravi presents a modern and scientific face of homeopathy. His huge practice supported by clinical research based data, statistics and scientific documentation, makes it unique in the homeopathic worked. He not only presents the ‘new face’ of modern homeopathy; but also responsible for ‘new phase’ in homeopathy. Dr.Ravi has no professional secret, he practices classical homeopathy using SINGLE REMEDY PRESCRIPTION as per homoeopathic philosophy. Dr.Ravi’s website is perhaps the ONLY WEBSITE IN THE WORLD where he shares with Homeopathic fraternity the details of case , method of analysis of case, repertorisation chart and reason for prescribing a particular drug. He has a vision that SHARING a particular case may guide young homeopaths to work in similar manner for benefit of mankind and homeopathy.