also referred to as a cerebrospinal fluid (CSF) leak, occurs when there is an abnormal decrease in the pressure of the cerebrospinal fluid surrounding the brain and spinal cord. This reduction in pressure can lead to debilitating headaches, which are often worse when standing and improve when lying down. These headaches are typically described as dull, pressure-like, and located at the back of the head or neck. SIH can occur spontaneously without an obvious cause, though it may be linked to small tears or holes in the dura mater, the membrane that encases the spinal cord and brain. These headaches can occur after a spinal procedure, trauma (such as a car accident), or spontaneously.

Dr. Cohen is well experienced in diagnosing and treating CSF leak headaches, He has worked with leading clinicians on this condition. Treatment can vary from bedrest, lifestyle changes, medications, and procedures such as an epidural blood patch.