![]() However, there is hope: Like a plumbing leak, a spinal CSF leak can often (but not always) be fixed. Symptoms of a CSF leak include a watery, clear discharge from the nose or ear, and a headache that is more painful when standing upright than when lying down. This is a diagnosis that tends to be missed when it occurs out of the blue, while cases that arise after medical procedures like spinal taps and spinal surgery are usually recognized more quickly. Very rarely, this can be life-threatening. Many patients are quite disabled by their limited functional upright time each day. A CSF leak is when the CSF escapes through a tear or hole in the dura, the outermost layer of the meninges, which surround the brain. Most of the time, this is mistaken as a migraine headache, or is attributed to another cause. While there are a number of symptoms, the most common symptom is an “upright headache,” that is, head pain that worsens after minutes to hours upright and improves while lying flat, or a headache that is less obviously positional but gets worse as the day goes on. The most common reasons why you may develop a spinal fluid leak include: A Surgical Complication A leak can develop if you undergo a procedure that requires entry into the spinal canal. This is called a spinal CSF leak, which is the underlying cause of intracranial hypotension. When the tough layer called the dura mater (often abbreviated as dura) that holds CSF in around the brain and spinal cord has a hole or tear along the spine, this results in a loss of CSF volume through the defect. Others have no symptoms.Cerebrospinal fluid is a special fluid that bathes and supports the brain and spinal cord. A cerebrospinal fluid CSF leak, or CSF leak for short, is an escape of the colorless fluid that surrounds and protects the brain from the skull and spinal. ![]() ![]() In some people, syringomyelia can progress and lead to serious complications. Early diagnosis and proper management is imperative for it is strongly associated with a better long-term prognosis of the patients. The risks of CSF leaks can be detrimental to the outcomes of the patients. The dura can be injured or punctured during a head injury or a surgical procedure involving the sinuses, brain or spine. Cerebrospinal fluid (CSF) leaks are one of the common complications after traumatic brain injuries (TBI). If you ever get a CFL, you should be aware of the signs, so you can. At Houston Sinus Surgery, Cecil Yeung, MD, has extensive experience helping patients who’ve developed cerebrospinal fluid leaks (CFLs). ![]() CSF acts as a cushion, protecting the brain and spine from injury.
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