Much of this diagnosis comes from the clinical history. Specifically, a positional component. Meaning, the headache goes away or improves significantly when lying down, and worsens after standing up, typically within 15 minutes. It occurs most often from a spontaneous spinal fluid (CSF) leak in the spine. However, if there is a lot of clear drainage from the nose, CSF leaks can also occur into the sinuses and nasal passages. ENT (ear nose and throat) doctors have a test that they can do to test the fluid from the nose to see if it is CSF or normal sinus/nasal drainage. Please refer to one of the prior responses regarding other testing.
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Virtual Headache Specialist™ is NEVER a replacement for an office visit with a medical doctor. Diagnoses and treatment suggestions of any type cannot be made without a face-to-face office visit with a medical doctor, and a detailed medical history and examination first.