Hi,

Thank you for posting your query at DoctorSpring.com.

I have noted your symptoms and agree that based on the symptoms, we need to exclude a diagnosis of CSF leak (rhinorrhea). Confirmation of the diagnosis requires MRI brain with CSF flow studies. We can also send the nasal fluid for examination.

In patients with CSF leak, there is a higher risk of getting meningitis, so, the CSF should also be examined for infection, if CSF leak is confirmed on the MRI.

You need to consult a neurologist, as early as possible, so that a correct diagnosis can be arrived at.

I hope it helps. I would be glad to answer any follow-up queries.

Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist

Thank you for getting back.

Yes, CSF leak can lead to more headaches while lying down, however, in most people, this symptom may be absent.
Now it is important for you to keep an open approach not to be biased with any diagnosis.

The approach would be - I would suspect and rule out a CSF leak. But still I would strongly consider the possibility of a vascular headache. I request you to follow your Doctor recommendation (even though you are not really happy with it) and get back to the same Doctor. That way if the symptoms are persistent it will alert the Doctor for further tests. (since you review with the same Doctor)

Hope this helps
Thank you

Dear Mary,

Thank you. Wish you good health