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The role of biology in the diagnosis of cerebrospinal fluid leaks
Ist Teil von
Annales de biologie clinique (Paris), 2009-03, Vol.67 (2), p.141-151
Ort / Verlag
France
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
Cerebrospinal fluid leakage is a rare but critical condition with a substantial risk of intracranial infection, therefore its diagnosis and treatment is of major importance. CSF leakage diagnostic can be a challenging problem. Nephelometric measurement of beta-trace protein in the liquorrhoea is a non-invasive and fast method that can be used for CSF leakage diagnosis. It should kept in mind, however, that the cut-off of 1.1 mg/L is not suitable for patients with bacterial meningitis and those with a reduced glomerular filtration rate. Complementary use of beta-trace protein assay and beta2-transferrin detection is therefore recommended.