Cerebrospinal Fluid Leak
Medically reviewed by Drugs.com. Last updated on Apr 6, 2025.
A cerebrospinal fluid (CSF) leak happens when there is a tear in the membrane (dura) that contains the fluid. CSF surrounds and cushions your brain and spinal cord. Treatment will depend on the location and size of your leak.
DISCHARGE INSTRUCTIONS:
Call your local emergency number (911 in the US), or have someone call if:
- You have a seizure.
Return to the emergency department if:
- Your headaches become worse.
- You become confused.
- You have increased neck pain or stiffness.
- You have a fever.
Call your doctor if:
- You have questions or concerns about your condition or care.
Medicines:
You may need any of the following:
- Medicines may be given to help you not cough and vomit. You may also receive medicines to help soften bowel movements so that you do not strain.
- NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
- Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell your provider if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.
Self-care:
- Follow your conservative treatment plan as directed. You will need to stay in bed with your head raised and avoid activities that cause pressure. These activities include coughing, vomiting, blowing your nose, and straining to have a bowel movement.
- Drink liquids as directed. Your provider may tell you to drink more liquids. Ask how much liquid to drink each day and which liquids are best for you. Avoid or limit liquids with caffeine. Caffeine may increase pressure.
Follow up with your doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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