![]() Most spontaneous cranial CSF leaks require surgery.Įxplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.Īfter discussing your symptoms with your family doctor, he or she might refer you to a doctor trained in brain and spine conditions (neurologist, neurosurgeon, ENT) for further evaluation. Taking stool softeners to prevent straining.Some cranial CSF leaks, such as those caused by trauma, improve with conservative measures such as: This is a new minimally invasive, catheter-based treatment for CSF-venous fistulas only that involves gluing shut the fistula from inside the culprit vein. Surgery may involve repairing the CSF leak with stitches or grafts made from patches of muscle or fat. There are several types of surgical treatments that repair CSF leaks. Some CSF leaks need surgery, though surgery is only performed if the other treatment options don't work and the precise site of the leak is known. A special sealant may be used alone or mixed with your blood in the same technique described above to cover the hole and stop the CSF leak. The blood cells form a clot, which creates a patch to cover the area where the CSF is leaking. This treatment involves taking a sample of your own blood, then injecting it into the spinal canal. Treatments for spinal CSF leaks may include: Some CSF leaks improve with bed rest alone. This test involves placing a needle in the spinal column to measure the pressure of CSF inside the spinal column, though pressure is normal in more than half of patients with spinal CSF leaks. It provides the most precise location of a CSF leak and helps to determine the most appropriate treatment plan. It uses digital subtraction fluoroscopy, a CT or MRI scan, and a contrast dye to locate CSF leaks. ![]() This test is considered the gold standard for diagnosing and locating CSF leaks. These images track the flow of CSF, which will be abnormal if there is an active spinal CSF leak. Then, images of the area are taken several times within a 24-hour period. This test involves measuring the CSF pressure and then injecting a chemical into the space surrounding the spinal cord. This imaging test uses a contrast agent, gadolinium, to better highlight abnormalities in the brain or spine that result from a CSF leak. Tests to diagnose a spinal CSF leak may include: The flexibility of your joints also may be checked. Your doctor will likely start with your medical history and a physical exam.
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