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 General Neurosurgery, Spine Disorders and Injuries

CSF leak

CSF leak

Cerebrospinal fluid leak
Cerebrospinal fluid leak

Definition:

CSF leak is an escape of the fluid that surrounds the brain and spinal cord.

Alternative Names:
Intracranial hypotension
Causes, incidence, and risk factors:

The dura is the membrane that surrounds the brain and spinal cord and contains the cerebrospinal fluid (CSF). A tear in the dura may occur without cause, after certain head, brain, or spinal surgeries, or after a head injury.

CSF leak can also be caused by a lumbar puncture (spinal tap) or by placement of tubes used for epidural anesthesia or pain medications.

Symptoms:

Symptoms usually include a headache that is worse with sitting up and improves when you lay down. Leakage of CSF from a tear of the dura in the head can also cause a runny nose.

Signs and tests:

Diagnosis is usually based on the person's history of injury, surgery, or lumbar puncture. An MRI may be done to try to confirm the diagnosis.


Review Date: 9/10/2006
Reviewed By: Daniel Kantor, M.D., Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network.

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