Minimally invasive repair of spontaneous intracranial hypotension: Report of 4 cases

Hamad I. Farhat, Brian Hood, Steven Vanni, Allan D. Levi

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Spontaneous spinal CSF leakage with the development of intracranial hypotension is a well-described entity. Cerebrospinal fluid leaks, mostly from the thoracic spine, are the major cause of spontaneous intracranial hypotension (SIH). Conservative treatment options include hydration, oral caffeine, and epidural blood patching. Alternatively, open surgical correction of meningeal diverticula is a therapeutic option. The authors describe 4 cases of spontaneous spinal CSF leakage producing symptoms of intracranial hypotension. All patients had multiple spinal diverticula with an identified leaking level. The patients were treated using a minimally invasive approach via surgical correction of the meningeal diverticulum.

Original languageEnglish (US)
Pages (from-to)505-509
Number of pages5
JournalJournal of neurosurgery
Issue number2
StatePublished - Feb 1 2011


  • Cerebrospinal fluid leak
  • Intracranial hypotension
  • Minimally invasive surgery
  • Spine

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery


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