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Case Studies | Neuroscience | India | Volume 12 Issue 10, October 2023

Spontaneous Spinal CSF Leak: A Case Report and Review of Literature

Dr. Manjunath S | Dr. Srinivas Rao Palaka

Abstract: Spontaneous Intracranial Hypotension (SIH) is formed as a result of the leakage of cerebrospinal fluid (CSF) into the extradural space. The most common symptom caused by SIH is headache associated with changes in body position. Imaging, especially magnetic resonance imaging (MRI) of the head and spine with contrast, is the most important examination method in the diagnosis of SIH. In the case of no improvement after symptomatic treatment, surgery is very effective, especially in the case of finding the site of CSF leakage within the spinal canal. The patient described below had presented with features of intracranial hypotension and so had undergone MRI imaging of brain and spine which revealed a CSF leak at C2-C3 region into the extradural space. Hence the patient was posted for surgery in view of the severity of the symptoms and post CSF defect repair, the patient improved symptomatically.

Keywords: Spinal CSF leak, Cerebrospinal fluid, intracranial hypotension, epidural blood patch

Edition: Volume 12 Issue 10, October 2023,

Pages: 79 - 83