Cerebrospinal Fluid (CSF) Leaks

Cranial and Spinal CSF Leaks

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Overview

Cerebrospinal fluid (CSF) is a watery fluid that the nervous system produces to nourish and protect the brain and spine. CSF leaks can happen in two main areas: the skull (also called the cranium) and the spinal cord.

For the most part, cranial and spinal CSF leaks have unique causes and treatments. Duke specialists are experts in identifying the type, cause, and location of CSF leaks. They offer a range of treatments to correct the leaks and eliminate the chronic headaches that often result.

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Spinal CSF Leaks

Content

Cerebrospinal fluid can leak out from around the spine due to a hole in the dura, the dense tissue that surrounds the spine and brain. The hole can result from:

A tear caused by a bone spur
An abnormal connection that forms between the dura and a nearby vein
A traumatic injury
Placement of an epidural catheter for childbirth or pain management

Learn More About Spinal CSF Leaks
Our neuroradiologists use advanced imaging tests to diagnose spinal CSF leaks. They can often be alleviated with an injection or surgery.

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Cranial CSF Leaks

Content

Someone with a cranial CSF leak may notice watery fluid dripping from their nose or collecting in their ears, usually on one side. Cranial CSF leaks are most often caused by:

Intracranial hypertension -- higher-than-normal CSF volume or pressure
A traumatic injury
Surgery
Tumor(s)

Learn More About Cranial CSF Leaks
Our sinus specialists, otologists/neurotologists, and neurosurgeons collaborate to diagnose and treat cranial CSF leaks. These are most often treated with surgery.

More Information

Spinal CSF Leaks

Cranial CSF Leaks

This page was medically reviewed on 10/27/2021 by

Peter G. Kranz, MD | Neuroradiologist