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Abstract
Many authoritative medical textbooks recommend the use of glucose oxidase reagent
strips to distinguish cerebrospinal fluid rhinorrhoea from clear nasal discharge following
head injury. A study of 50 subjects with clear nasal and lacrimal secretions, demonstrated
a large proportion of positive results for glucose (44 per cent). Thirteen secretions
(26 per cent) contained glucose in a concentration within the normal range for CSF.
The recommended use of glucose oxidase test strips for differentiating CSF leakage
from other clear nasal secretions is therefore without foundation.
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References
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- Cushieri A. Giles G.R. Moosa A.R. Essential Surgical Practice. Wright, Bristol1982: 432
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- The reaction of glucose oxidase test strip paper in normal nasal secretion.Acta Otolaryngol. 1964; 58: 271
- Glucorrhoea revisited: Prolonged promulgation of another plastic pearl.JAMA. 1975; 234: 1052
- Glucose in nasal secretions: Diagnostic significance.Arch. Otolaryngol. 1972; 95: 225
- Manual of Accident and Emergency Medicine. Wiley, Chichester1983: 48
Article info
Publication history
Accepted:
March 2,
1987
Identification
Copyright
© 1987 Published by Elsevier Inc.
