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BackTable / ENT / Podcast / Episode #232
CSF Leak Evaluation Part I: Presentation & Management
with Dr. Satyan Sreenath and Dr. Sanjeet Rangarajan
A patient walks in with a persistent runny nose. Is it allergies, or something more dangerous? In this episode of the BackTable ENT Podcast, two renowned rhinologists, Dr. Satyan Sreenath
and Dr. Sanjeet Rangarajan, delve into the evaluation and management of cerebrospinal fluid (CSF) leaks at the anterior skull base with host Dr. Gopi Shah.
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BackTable, LLC (Producer). (2025, July 22). Ep. 232 – CSF Leak Evaluation Part I: Presentation & Management [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Satyan Sreenath
Dr. Satyan Sreenath is an otolaryngologist at Indiana University Health in Indianapolis, Indiana.
Dr. Sanjeet Rangarajan
Dr. Sanjeet Rangarajan is an otolaryngologist and head and neck surgeon at Clevleand Medical Center in Cleveland, Ohio.
Dr. Gopi Shah
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Synopsis
The discussion encompasses patient presentations, differential diagnosis, physical examination, and imaging techniques for localization. They also explore the impact of underlying conditions such as idiopathic intracranial hypertension (IIH) and obstructive sleep apnea (OSA) on CSF leaks. Dr. Sreenath and Dr. Rangarjan offer insight into diagnostic strategies, patient management, and surgical planning, providing a comprehensive overview of best practices in managing this complex condition.
Timestamps
00:00 - Introduction
02:48 - Patient Presentation and Initial Evaluation
04:45 - Common Symptoms and Diagnostic Challenges
06:02 - Risk Factors and Etiologies of CSF Leaks
10:59 - Management and Treatment Approaches
16:55 - Physical Examination and Diagnostic Techniques
22:35 - Patient Instructions for Sample Collection
24:29 - Differentiating CSF Leaks from Other Conditions
26:12 - Endoscopic Examination Techniques
30:21 - Imaging and Diagnostic Approaches
33:14 - Surgical Planning and Considerations
45:23 - Concluding Thoughts
Resources
Satyan Sreenath
https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999
Sanjeet Rangarajan
https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-1649568395
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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