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There is a growing evidence base suggesting that a significant proportion of spontaneous spinal CSF leaks occur as a result of preexisting weakness of the dura mater.These leaks are usually ventral or in front of the spinal cord. Spontaneous spinal CSF leaks may be associated with spinal pathology such as calcified disc material or bone spurs.Some of these might be categorized as traumatic. Potential causes may include: "lifting small or large items, straining, stretching, positional changes, sporting activities, roller coaster rides and falls. Spontaneous (idiopathic) intracranial hypotension and spinal CSF leaks brachial plexus injuries (nerves extending from the spinal cord).Traumatic causes of intracranial hypotension and spinal CSF leaks This is the most common cause of a spinal CSF leak." Headaches that can develop are "often known as Post Dural Puncture Headache = PDPH. Spinal CSF leaks can develop after a lumbar puncture. Iatrogenic causes of intracranial hypotension and spinal CSF leaks Risk factors for spontaneous (idiopathic) leaks as well as leaks following procedures include connective tissue disorders such as Ehlers-Danlos syndrome. Leaks can occur after lumbar punctures, epidurals, and surgery.

and in spontaneous intracranial hypotension, is rare and associated with brain sagging and hypersomnolence" dementia––"ehavioral variant frontotemporal dementia (bvFTD) is a devastating early onset dementia.The severity of the headache can range from mild to very severe and disabling." It is rarely on just one side of the head, and often is described as a 'pulling sensation' from the head to the neck. "The headache usually is in the back of the head or base of the skull, but can also occur in the front, sides or all over the head. The headaches are worse when upright and get better lying down. Symptoms of cerebrospinal fluid leaks include positional headaches, which may be intense. Symptoms of spinal leaks of cerebrospinal fluid