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-   -   spontaneous CSF leak (https://www.neurotalk.org/csf-leak/15498-spontaneous-csf-leak.html)

alexis817 06-10-2012 07:57 PM

Quote:

Originally Posted by dankgrl13 (Post 635351)
It's rare to find a young person with a spontaneous csf leak. Im 24 and have had one for 7 years. Ive been through blood patch hell as well. Fibrin glue patches are more effective/less invasive than surgery. Ultimately the ct myelogram is the definitive test to locate it. California, specficially UCSF and Cedars sinai are the hubs for this. I have a ridic long history, so if you have any specific questions let me know.

glue patch? whats that... my mom just recently diagnosed with a leak... did three patchs... not working...did surgery ... she also has lupus, .... she wound up with infection in her spine,then they figured out the leak.... three patches and surgery later, shes worse i think.... and weve never been thru or heard of this before, now i look at all the posts, and other sites, and im amazed noone has come out with a good story saying their surgery or patch has healed and never have to go thru it again...seeems to be ongoing... scary...im sorry for you...just as sorry as i am for my own mom...

alexis817 06-16-2012 09:08 PM

so has anyone at all found a dr that has fixed this long term???

SommerLeigh 07-02-2012 12:08 PM

CSF Leak- Recovered
 
Dr. Wouter Schievink at Cedars-Sinai in Los Angeles, CA was my neurosurgeon for my CSF leak. I was diagnosed in November of 2011. After two unsuccessful blood patches, Dr. Schievink performed the glue patch. 2 weeks after the procedure I was fully recovered. 7 months later I have had no headaches or complications. He is one of the leading doctors for CSF leaks and I encourage anyone suffering from this to see him or reach out to him.

westg8 07-06-2012 02:27 AM

csf leak-something to worry about?
 
I am 22 years old and I have a csf leak. I was in a car accident when I was 19 and was ejected out of the vehicle and I broke my face/head causing the csf leak.

Basically at random times i will get really bad headaches that will only feel better when I lay down. there is a clear (water like) liquid (not mucus) that will periodically leak out of my nose. especially if i am doing something with my head down like tying my shoes. i have had this for two and a half years now so i am pretty used to it. Most mornings i do not eat because if i do i get sick from the headaches. (unless i have medicine to help my stomach)

if i am really stressed out or cough a lot the fluid will leak out more. (im guessing from the pressure)

they said at the beginning there was a really big risk of infection and to get the surgery. but i didnt happen to have 80,000 dollars in my pocket so that was not going to happen.
it has been two and a half years and i have not gotten any infection and i am still alive. i think as long as you drink a lot of water and don't abuse your body (by drinking excessively and drugs) you should be fine.

i hate the doctors and i hate pain medicine. they always seem to mess up on something. when they were testing for my csf leak they injected this stuff into my spinal fluid and turned me upside down. I asked if i was going to have any side affects (cuz im that person) and they said not to worry there was a less than three percent chance of something happening. well that something happened, my brain swelled and i had to lay around not moving taking steroids for a week. steroids make everything taste horrible.

i decided against getting my head cut open. again. I am just going to deal with the problems i have because the surgery is not even a sure one. and at least i can walk again :) i am just curious if it is really that dangerous to be walking around with a csf leak???

TinkerbellMorgan 11-02-2012 10:24 AM

Spontaneous leaker
 
Hi I'm 20 and suffering with a spontaneous Csf leak, been bed ridden for 6 months and hospitalised 5 times as my symptoms are pretty severe. I've got my first blood patch booked in for this Weds but just so many questions regarding it all that have gone unanswered as no one seems to know! The neurologists in my hospital and all my doctors have never seen it before so don't really know what steps to take so I'm just hoping so much that this blood patch helps!!!

tom1019 02-08-2013 02:49 PM

Any good doctor in SF bay area?
 
Hello,

A doctor in Japan found spontaneous CSF leak from my wife's lumber and neck.
She had 1st blood patch and improved her headache and other symptoms she had. But it seems spinal fluid leak is still happening.

We brought back her contrasted MRI and CT result from Japan.

I'm trying to find a good doctor for spontaneous CSF leak in San Francisco - bay area, so she can continue the treatment locally.

Does anyone know a good doctor for spontaneous CSF leak in SF bay area?

Regards

Jomar 02-08-2013 03:03 PM

Hello Tom,
You might want to make a New Thread, or you can use the search options to find specific things that might already be posted.

Forum FAQ's (and how to use tips)- http://neurotalk.psychcentral.com/fa...b3_board_usage

a forum search link is in my siggy line

ryaneason 01-13-2014 04:21 PM

Partially helpful blood patches? Anyone else?
 
Quote:

Originally Posted by SommerLeigh (Post 893655)
Dr. Wouter Schievink at Cedars-Sinai in Los Angeles, CA was my neurosurgeon for my CSF leak. I was diagnosed in November of 2011. After two unsuccessful blood patches, Dr. Schievink performed the glue patch. 2 weeks after the procedure I was fully recovered. 7 months later I have had no headaches or complications. He is one of the leading doctors for CSF leaks and I encourage anyone suffering from this to see him or reach out to him.

I am in a similar position to where you were - I've had two blood patches with some success, but I still have a leak and symptoms (though not consistently). I'm in the process of figuring out next steps and have been in touch with Dr. Schievink - I'm getting him my scans/history now. My question to you is: did the blood patches you had prior to the glue provide any relief? How did you decide it was time to do glue (vs. additional blood patches)?

djflake 03-03-2014 08:22 PM

I know what you are talking about, very frustrating.
 
Quote:

Originally Posted by jmilphoto (Post 79690)
Hey! I'm new to this forum, although I've visited before. Just wanted to see if there are others who have been dealing with a CSF leak. Seems this is a rare and often misunderstood/misdiagnosed condition. I'd like to find a doctor who is familiar with spontaneous CSF leaks and how to locate them. I started having intermittent headaches about 5 yrs. ago with the classic relief when lying down, I'm now 26 yrs. old. Last summer I was able to convince my neurologist to get me tested and get a bloodpatch. It was a horrible experience, I had 5 spinal taps before the doctor reasoned that he wasn't going to get any spinal fluid. It seems that my pressure was so low that there wasn't enough to take a pressure reading. So I finally go my bloodpatch, which seemed to work for about 5 mons., until slowly the headaches came back. I was scheduled for a CT myelogram (sp?) but cancled it after mysteriously having a week pain free...weird but I'm back to the usual headaches and will hopefully have the test next week. Has anyone had a similar experience? And if so what treatment has helped? Thanks!

So on June 17, 2008, I was riding as a passenger in a car and got this insanely painful worse than a migraine headache, which reduced slightly by laying back but man was it bad. By that evening I was in the hospital ER throwing up, and unable to function due to the explosive feeling in my head. I had not had a spinal tap to bring this on, but after going to two different hospitals and many tests from a disease specialist and long stays at those hospitals I was sent to St. Joseph's in Phx and admitted there.

I had developed a spontaneous spinal fluid leak, to which they gave me a blood patch. The pain during the patch was intense however the relief it gave me was virtually instantaneous. It worked for about a week, then failed. Back to St. Joe's I went for another, and it gave me no relief whatsoever. During the next week of hospitalization they discovered a blood clot in my brains vein system aka Left Transverse Sinus Thrombosis. They Stented that but the pain still existed in my head. Long story short I have a bone spurs in the posterior or front side, inside the T2 and T3 vertebrae where the spinal canal is, that continuously causes a CSF leak.

I have been on many pain meds, oral and patches and seriously cannot stand the side effects. The location of the spur, combined with the fact that I am Factor V Leiden (I clot to easily) and have already had a blood clot in my brain means I am not a surgical candidate for repair. So sometimes my pressure is high and sometimes it is low due to the constant pop heal pop, that is caused by the bone spurs. I have had multiple blood patches but they all have failed and that really is because I am on blood thinners, they take me off of them for a while prior to the patches and keep me off for a while after the patches but frankly the risk there is also high so they now will not do anymore blood patches. My only solution at this point...Pain Management and prayer that it will somehow spontaneously heal itself. I have been to the Neurologists at Barrow's and the Mayo Clinic and have heard from one of the doctors I do not remember which one that he knew of one patient that it was 11 years of this and then it healed itself.

The things that make it worse for me, exertion of any kind, barometric pressure changes, hormonal changes ect... Laying down gives some relief, but at this point I experience other types of headaches as a result of stress, medications, ect. on top of the CSF leak that I am now having Hemiplegic Migraines which cause periods of random paralysis on the right side of my body so if I were to have a stroke I would not even know because I am so used to ignoring the Migraines and dealing with the paralysis at home instead of calling an ambulance like the doctors would prefer just in case it might be a stroke on a weekly or even more frequently in some cases just to have them send me home and run up unnecessary hospital bills.

It all seems so daunting and I really know every case is different...I am looking at a pain pump option, but honestly I don't know how effective that will be as I already have a CSF leak that is not a surgical candidate.

The most frustrating part is the only fix being pain meds...pain meds can cause headaches too. So if you hear of any solutions please let me know as well.

I am sorry to hear you are going through this because as you know CSF headache is worse than a migraine. I understand why the doctors don't want to risk the surgery, but when I am looking at another possible 40 years of this it makes it hard to keep a positive point of view.

I wish you the best of luck and a speedy recovery.

djflake 03-03-2014 08:30 PM

Quote:

Originally Posted by vini (Post 344125)
hello neuro talkers
I have had a head injury on the 19th of December last year were I got fractures to my, frontal / temporal / maxilla/ and orbital floor bones on the right side of my head I have no sensation in the right side of bottom eye lid/ nose top lip/ teeth and gum's also double vision in my right eye I came to in the waiting area of a hospital not knowing were I was or what had happen I could not see my phone so asked the receptionist to call my partner she said the police had phoned some three hours earlier and said I was in a bad way but was ok this was 3am my partner came out with my 7 year old when they arrived I was finally seen by a doctor I could not tell my left from right when xrayed I was given a letter to take to another hospital some 30 miles away ( the queen Victoria East Grinstead uk famous for its work WW2 fighter pilots burns victims known as the gini pig club) there I was scanned told the extent of my injury's they said they could not operate until the day after boxing day 7 days away they gave me some anti bots and pain killers and told me not to blow my nose ( No head injury sheet) a couple of days later I got a cough and cold every time I coughed I had clear fluid run out my nose (not mucus) from the cold about an egg cup full a day salty and thin clear liquid I now know was CSF leaking , I returned to the hospital for the op to fit 3 metal plates to the fractured bones I got into bed and told the nurse that I was worried about this stuff coming out my nose, she said can you make it come out so I coughed and it trickled out . she went and got the surgeon who done some neurological tests he said he could not operate and sent me for a brain scan I was to return for the op on new years eve which I did and the op was done the staff at the hospital were all very nice , but I am left with crushing daily head aches, short term memory loss, find it hard to think, low mood, and a salty taste at the back of my throat could this be the CSF leaking I have had to give up work as I could not cope with my job any more, I have an appointment on the 18 September with a neurologist , Can CSF leak internally ? will my symptoms get better if they can fix it ?
ps I was a victim of an unprovoked attack at a railway station but still have no memory of that night
kind regards Vini

Your body continuously makes CSF fluid, and reabsorbs it normally at the same rate it makes it, thus keeping the pressures in your head stable, some people need a shunt due to making too much and the pressures getting too high which if very dangerous and can cause a lot of the symptoms you are describing. You can also have serious pain from low CSF fluid caused by a leak, kind of like your brain sinking as it cannot maintain how it is supposed to float in your head. Either way the pain is intense and of the two I would suggest the High Pressure is worse than the low on how quickly the damage can occur but either way high or low it can cause damage.

I hope this helps. I suffer from a CSF leak myself, exasterbated by other issues.


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