Cerebrospinal Fluid (CSF) Leak Treatments
Cedars-Sinai's internationally renowned experts deliver safe, effective treatments for all types of CSF leaks. Leaks often heal with noninvasive treatments, such as bed rest and drinking lots of fluids. If your symptoms do not go away or you have a complex leak, you may need additional treatment.
Highlights of our program include:
We are one of the few programs in the world with a team of doctors specializing in CSF leaks. Our team represents every medical specialty needed for exceptional care. Our doctors have been working together for a long time, leading to efficient treatments and excellent results.
We were the first program in the world using fibrin glue patching for spontaneous intracranial hypotension, when the fluid pressure inside the skull is lower than it should be.
CSF Leak Treatments We Offer
CSF leak treatments available at Cedars-Sinai include:
Epidural Blood Patches
We inject a sample of your blood into the space surrounding your spinal cord (dura). As the blood travels along your spinal column, it starts to clot, sealing the leak. We minimize discomfort by applying numbing medication to the injection site and giving you IV sedation.
Fibrin Glue Patching
If blood patching is not successful, we apply special glue through an epidural injection to the source of the leak. The glue creates a long-lasting seal. You receive numbing medication at the injection site before the procedure and IV sedation.
CSF Leak Surgery
You may need surgery if other treatments are not successful or you have a complex type of leak. During CSF leak surgery, we seal the leak with stitches, clips or adhesive. If the leak is due to sharp bones puncturing the dura, we remove them to lower your risk of future leaks.
Intrathecal Saline Infusion
During this infusion procedure, we insert a temporary drain into your lower back. We then deliver artificial cerebrospinal fluid into the spinal sac. The goal is to see if replenishing CSF volume improves your symptoms while you are in an upright position.