This causes the brain to lose its buoyancy, which results in pressure on pain-sensitive areas like the dura and blood vessels.
A diagnostic dural puncture is commonly used because its results show the presence of a leak easily.
A cranial MRI can be diagnostic by showing one of the five main findings, which are subdural fluid collections, enhancement of venous structures, dural enhancement on MRI sagittal views,[6] pituitary hyperemia, and sagging of the brain.
[3] Cerebrospinal Fluid leaks can be managed short term with bed rest and plentiful hydration.
Drugs such as midodrine, fludrocortisone, droxidopa, and pyridostigmine are sometimes prescribed to help stabilize blood pressure.
Patients drink two 8 ounce glasses of cold water rapidly, which will increase standing blood pressure for a short amount of time.
CSF leaks are more common in patients that have connective tissue diseases such as Ehlers-Danlos syndrome.