A member asked:

Could csf leak under under the skin causing very baggy eyes. started all of sudden and i get very bad headaches in the upright position. better when i lye down. i have hydrocephalus and had a etv. ?

11 doctors weighed in across 3 answers
Dr. Adam King answered

Specializes in Internal Medicine and Pediatrics

Low-pressure headache: You're certainly describing a low CSF pressure syndrome. Please return the physician who did lumbar puncture on you and discuss options such as a "blood patch." commonly this procedure can help it if your headaches are being caused by this phenomenon.

Answered 6/10/2014

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Probably not: CSF leakage typically occurs through the ears or nose, not as bags under the eyes. Lack of sleep, fatigue etc can lead to fluid accumulation under the eyes- this is not csf. Unless you've had recent brain surgery- highly unlikely.

Answered 1/2/2015

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Dr. Joseph Accurso answered

Specializes in Radiology

I am not aware of: Baggy eyes as a symptom of a CSF leak. Usually such leaks are via the ears or nose (clear fluid, perhaps after a cough or sneeze), and usually soon after a surgical procedure or significant head trauma. Did you have a recent lumbar puncture? If so, perhaps the positional headache relates to that. Please see your neurosurgeon or neurologist.

Answered 1/2/2015

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