040 68334455
WhatsApp
Patient Portal
Home Care
What is Intracranial Hypotension?
Written by Medicover Team and Medically Reviewed by Dr Reddi Sudheer Naidu , Neurologist
Intracranial hypotension is a condition where the pressure of the cerebrospinal fluid (CSF) around the brain and spinal cord becomes too low. This fluid cushions the brain and spinal cord, so a drop in pressure can cause the brain to sag slightly, leading to symptoms like severe headaches, dizziness, and neck pain.
What are the Symptoms of Intracranial Hypotension?
Intracranial hypotension often begins with subtle signs that grow more intense over time. It happens when cerebrospinal fluid (CSF) levels drop, leading to pressure changes around the brain and spine. Spotting the symptoms early can make a big difference in getting the right care.
Common Symptoms
- A throbbing headache that eases when lying down
- Dizziness, especially after sitting or standing
- Feeling unusually tired
- Distorted or double vision
- Trouble with balance or walking
- Numbness in arms or legs
What are the Common Causes and Risk Factors of Intracranial Hypotension?
Intracranial hypotension occurs when the cerebrospinal fluid (CSF) that cushions the brain and spinal cord leaks or decreases. Understanding what causes this drop and who may be more at risk helps in early detection and timely care.
Causes
- Leaks in the spinal lining, often without clear injury
- Medical procedures involving the spine, such as spinal taps
- Physical trauma to the head or back
- Weakness in connective tissue, making the spinal dura more fragile
- Surgical issues following brain or spine operations
Risk Factors
- Middle age, as tissues may lose elasticity
- Certain inherited conditions affecting connective tissue strength
- Repeated exposure to spinal procedures
- An active lifestyle involving frequent bending, lifting, or straining
- History of past spinal injury or surgery
Get a second opinion from trusted experts and makeconfident, informed decisions.
Get Second OpinionHow is Intracranial Hypotension Diagnosed?
Diagnosing intracranial hypotension takes more than noting symptoms it requires a close look at how the brain and spinal fluid are functioning. Since the condition is linked to low cerebrospinal fluid (CSF) pressure, doctors rely on a mix of scans and physical assessments to find the cause.
Common Diagnostic Tests
- MRI of the Brain and Spine: This scan can show changes like brain sagging or fluid buildup.
- CT Myelography: Uses dye and imaging to find exactly where the CSF is leaking.
- Radioisotope Cisternography: Helps trace CSF movement and find hidden leaks.
- Lumbar Puncture (Spinal Tap): Measures the actual CSF pressure in your spine.
- Neurological Exam: Checks for signs like coordination problems or vision changes.
What are the Treatment Options for Intracranial Hypotension?
Managing intracranial hypotension starts with identifying the cause of the CSF pressure drop. Treatment depends on how severe the symptoms are and whether a fluid leak has been found. The goal is to relieve discomfort and restore balance in the brain and spine.
Non-Surgical Approaches
- Resting in a Reclined Position: Staying flat helps reduce strain on the brain and may allow healing.
- Caffeine Use: Often suggested to help improve CSF pressure temporarily.
- Hydration and Nutrition: Drinking more fluids and eating well can support the body's natural repair.
- Mild Pain Relievers: Used to ease headaches and stiffness.
Minimally Invasive Procedures
- Epidural Blood Patch: A small amount of your blood is placed near the leak to seal it. Many people feel better soon after.
- Fluoroscopy-Guided Injections: Help target hard-to-find leaks more precisely when needed.
Surgical Treatment
- When the leak is persistent or clearly identified, surgery may be used to close the damaged area.
- This is usually considered if less invasive steps haven't worked.
When to See a Doctor?
Some headaches fade with rest, but others signal something more serious. If you've noticed unusual pressure changes in your head, especially those that shift with your posture, it may be time to look deeper. Intracranial hypotension isn't always easy to spot, but early action makes a big difference.
Signs You Shouldn't Ignore
- Persistent headache that improves only when lying flat
- Ongoing neck discomfort or stiffness with no clear cause
- Blurred or double vision that comes and goes
- Tiredness or dizziness that doesn't ease with sleep
- Difficulty focusing, especially after movement or activity
Who Should Be Extra Cautious
- Anyone recovering from a lumbar puncture or spinal anesthesia
- People recently involved in an accident involving the head or spine
- Those with a history of spinal surgery or connective tissue problems
Your health is everything - prioritize your well-being today.
Consult Intracranial Hypotension Doctors Today
Our Experience in Treating Intracranial Hypotension
At Medicover Hospitals, we understand how overwhelming and frustrating intracranial hypotension can be. Many people come to us after weeks or even months of unexplained discomfort. We listen closely, act quickly, and treat each case with the attention it deserves.
Our team takes pride in combining advanced diagnostics with a personal approach, ensuring you feel heard at every step. From the first consultation to post-treatment recovery, we stay by your side, offering clear answers and compassionate care. Helping you heal and return to your daily life safely is not just our goal, it's our commitment.
