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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。

Cranial leaks may occur in the nose following surgery (rhinorrhea), from the external auditory canal (otorrhea) or from an operative defect in the skull.

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.

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