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Leakage of CSF can occur when there is a tear or hole in the dura mater, the outer most membrane that protects the brain and spinal cord. A congenital defect, trauma or certain spinal procedures such as lumbar puncture can cause the leakage of CSF usually through the ears, nose and mouth, and spinal column.

Once the source of leak is identified, we offer:

Diagnostic Study

A specialized test called myelography in helping to identify the tear or hole in the surrounding structures of the brain and spinal cord.


  • Image guided epidural blood patch.
  • If failed, we then perform CT guided fibrin glue epidural patch placement.
  • Surgical closure is the last option.