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Low intracranial pressure

CSF leak

A leak of cerebrospinal fluid lowers the pressure cushioning the brain, producing a headache that is much worse upright and eases on lying flat. Treatable, but often mistaken for migraine for years.

~5 per 100,000 each year · likely underdiagnosed · peaks between the 30s and 50s

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What Erin does about it

From your story to a working plan

  • 01The intake screens specifically for the upright-worse, lying-better pattern that points away from migraine
  • 02Your assessment flags red flags and the need for prompt imaging or specialist referral where appropriate
  • 03You receive a plain-language summary; your clinician receives a structured SOAP note where licensed
  • 04Education explains what an epidural blood patch involves and the questions worth asking