What is Spinal CSF Leak?
Spinal cerebrospinal fluid (CSF) leak is an important and under-diagnosed cause of new onset headache that is treatable and curable in many cases.
Have a look at our animated video with Anna explaining spinal CSF leak.
Cerebrospinal fluid is a special fluid that bathes and supports the brain and spinal cord. When the tough layer called the dura mater that holds CSF in around the brain and spinal cord has a hole, tear, or defect along the spine, this results in a loss of CSF volume. This is called a spinal CSF leak, which is the underlying cause of intracranial hypotension.
While there are a number of symptoms of spinal CSF leak, the most common symptom is head pain that worsens after minutes to hours upright and improves while lying flat, or head pain that is less obviously positional but gets worse as the day goes on. Most of the time, this is mistaken as a migraine headache, or is attributed to another cause. Many patients are quite disabled by their limited functional upright time each day. Very rarely, this can be life-threatening.
This is a diagnosis that tends to be missed when it occurs out of the blue, while cases that arise after medical procedures like lumbar punctures and spinal surgery are usually recognized more quickly. However, there is hope: Like a plumbing leak, a spinal CSF leak can often (but not always) be fixed.
Latest Updates from Spinal CSF Leak Foundation:
Spinal CSF Leak: Bridging the Gap 2025 conference videos are live!
Talks, Q&As, and a patient vidoe compilation from the 3rd annual Spinal CSF Leak: Bridging the Gap conference held virtually on November 15, 2025
The 2025 Intracranial Hypotension conference videos are live!
We are happy to share that the video replays from the June 28-29, 2025 Intracranial Hypotension Conference are now available for your viewing!
Meet our new Executive Director, Olivia Chelko
We are thrilled to welcome Olivia Chelko to the Spinal CSF Leak Foundation as our new Executive Director.


