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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, ..csf leak from nose test. 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.

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