Intracranial hypotension treatment [Neurosurgery Wiki]

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====== Intracranial hypotension treatment ======
If the site of the spinal CSF leak can be identified, then options include:
        
Epidural blood patch, performed by an anesthesiologist pain management specialist.

Surgical repair of the defect. 
    
Over-draining CSF shunts are managed by replacing the valve with one that drains less.
        
Lumboperitoneal shunts may have to be removed or ligated. 

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[[Postural headache]] due to [[intracranial hypotension]] (true [[overshunting]]) is usually self limited, however, if symptoms persist after = 3 days of [[bed rest]] and analgesics and a trial with a tight abdominal binder, the [[valve]] should be checked for proper closing pressure.If it  is low, replace with a higher pressure valve. If it is not low, an [[antisiphon device]] alone or together with a higher pressure valve may be needed
((Hyde-Rowan MD, Rekate HL, Nulsen FE. Reexpansion of previously collapsed
ventricles: the slit ventricle syndrome. J Neurosurg. 1982 Apr;56(4):536-9.
PubMed PMID: 7062125.
)).