Cerebrospinal rhinorrhoea is potentially serious due to the risk from infection. In patients presenting with a nasal discharge of clear fluid it is important to identify the nature of the fluid. Cerebrospinal fluid is readily identified by the presence of asialo-transferrin (tau protein). A method is presented for the identification of tau protein based upon agarose electrophoresis, followed by transfer onto cellulose nitrate membrane and immunochemical detection of transferrin. The method is reliable, sensitive and simple, and requires only basic electrophoresis apparatus.
TolleyNSSchwartzP.Nose-blowing and CSF rhinorrhoea. Lancet1991; i: 337.
4.
McCormackBCooperPRPerskyMRothsteinS.Extracranial repair of cerebrospinal fluid fistulas: Technique and results in 37 patients. Neurosurgery1990; 27: 412–17.
5.
OberascherG.A modern concept of cerebrospinal fluid diagnosis in oto- and rhinorrhoea. Rhinology1988; 26: 90–103.
6.
FelgenhauerKSchadlichHJNekicM.Beta-trace protein as a marker for CSF fistula. Klin Wochenschr1987; 65: 764–8.
7.
ReisingerPWHochstrasserK.The diagnosis of CSF fistulae on the basis of detection of beta 2-transferrin by polyacrylamide gel electrophoresis and immunoblotting. J Clin Chem Clin Biochem1989; 27: 169–72.
8.
JeppssonJ-OLaurellC-BFranzenB.Agarose gel electrophoresis. Clin Chem1979; 25: 629–38.
9.
St ThompsonC.The Cerebrospinal Fluid: Its Spontaneous Escape from the Nose. London: Cassel and Co. Ltd, 1899.
10.
TripathiRCMillardeCBTripathiBJNoronhaA.Tau fraction of transferrin is present in human aqueous humor and is not unique to cerebrospinal fluid. Exp Eye Res1990; 49: 541–7.
11.
O'ConnorAFLuxonLMShortmanRCThompsonEJMorrisonAW. Electrophoretic separation and identification of perilymph proteins in cases of acoustic neuroma. Acta Otolaryngol1982; 93: 195–200.
12.
HorsleySPClaytonPTHardingBNHallNAKeirGWinchesterB.Neonatal onset olivopontocerebellar atrophy: Two new cases demonstrate clinical and biochemical findings in common with the disialotransferrin developmental deficiency syndrome. Arch Dis Child1991; 66: 1027–32.