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I am a Neurosurgeon, doing all kinds of brain and spine surgeries. Specially endovascular coiling of aneurysm, embolization of AVM's dural AV fistulas, carotid stenting.

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Intracranial Hypotension

Aneurysm Treatment in Jaipur | Dr. D.P. ShaIntracranial Hypotension Treatment in Jaipur – Dr. D.P. Sharmarma

Intracranial Hypotension is a condition caused by low cerebrospinal fluid (CSF) pressure in the skull, often due to CSF leaks. Dr. D.P. Sharma (MBBS, MS, M.Ch Neurosurgery, Fellow Endovascular Surgery) provides advanced, minimally invasive treatments in Jaipur to repair CSF leaks and restore normal brain function.

What is Intracranial Hypotension?

Intracranial Hypotension occurs when CSF pressure drops below normal, leading to headaches, neurological symptoms, and in some cases, vision or hearing problems. The condition is commonly caused by subdural leaks or venous leaks, which allow cerebrospinal fluid to escape from its normal compartments.

Symptoms of Intracranial Hypotension

  • Severe headache, especially when standing up (orthostatic headache)
  • Nausea and vomiting
  •  Neck stiffness or pain
  • Dizziness or imbalance
  • Visual disturbances, blurred vision, or double vision
  • Fatigue or difficulty concentrating

Causes and Why Treatment is Needed

Intracranial hypotension is caused by CSF leaks in:

  • Subdural Leaks: CSF escapes into the subdural space.
  • Venous Leaks: CSF leaks into veins.

If left untreated, these leaks can cause persistent headaches, neurological deficits, and risk of chronic complications. Repairing the leak restores normal CSF pressure, alleviates symptoms, and prevents long-term damage.

Treatment Process for Intracranial Hypotension:

Definition: Treatment involves minimally invasive procedures to locate and repair CSF leaks, using imaging guidance and advanced endovascular or surgical techniques.

Process:

  • Detailed imaging (MRI, CT myelography, or digital subtraction angiography) is used to locate the leak.
  • For subdural or venous leaks, targeted endovascular repair or surgical sealing is performed using micro-catheters, embolic agents, or suturing techniques.
  • The goal is to restore normal CSF pressure and prevent further fluid loss.

Recovery: Most patients experience improvement in headaches and neurological symptoms within days. Hospital stay may vary from 1–3 days depending on procedure complexity. Regular follow-up ensures the CSF pressure is stable.

When to Consult a Doctor:

 Immediate consultation is recommended if you experience:

  • Persistent or worsening headache
  • Symptoms following spinal or head injury
  • Nausea/vomiting with posture changes
  • Neurological symptoms (vision changes, imbalance)

Why Choose Dr. D.P. Sharma for Intracranial Hypotension in Jaipur?

Dr. Sharma combines expertise in neurosurgery and endovascular interventions with advanced imaging techniques to locate and repair CSF leaks accurately. Patients in Jaipur benefit from:

  • Minimally invasive procedures
  • High success rates with low complication risk
  • Personalized care for each patient
  • Advanced hospital facilities for post-procedure monitoring

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FAQ's

Some mild cases may improve with rest and hydration, but persistent leaks usually require targeted repair to prevent long-term complications.

Imaging studies like MRI, CT myelography, or DSA are used to accurately locate the leak.

Most patients notice symptom improvement within days, but follow-up imaging ensures the leak is fully sealed.