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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had An Arachnoid Cyst Drained With Burr Hole Method. Nose Bleeds. Is The Cyst Coming Back?

I had an arachnoid cyst drained about a year ago with the burr hole method. I have felt a little bit of pressure on my surgery scar, that is the best way to describe it. I did hit the scar recently after pulling something off a shelf. The last couple days I have been having nose bleeds. It could be a lot of things, though. I was wondering if the cyst came back, if anything like that could happen. It was a very large cyst, about the size of a tangerine.
Tue, 7 May 2013
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Spine Surgeon 's  Response
Nose bleed should not be related to previous surgery, if it is blood purely. However if it is water mixed blood or purely water like fluid it is of concern. In some cases of long raised intracranial pressure there is chance of CSF leak even without trauma. Anyway there is no harm in visiting operating surgeon for followup, since it is difficult for patient himself to judge CSF mixed blood.
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Had An Arachnoid Cyst Drained With Burr Hole Method. Nose Bleeds. Is The Cyst Coming Back?

Nose bleed should not be related to previous surgery, if it is blood purely. However if it is water mixed blood or purely water like fluid it is of concern. In some cases of long raised intracranial pressure there is chance of CSF leak even without trauma. Anyway there is no harm in visiting operating surgeon for followup, since it is difficult for patient himself to judge CSF mixed blood.