Neurosurgeons in the UK stent the jugular vein of a patient with a CSF leak, and discover his brain perfusion is improved, his CSF flow is repaired, and his symptoms of fatigue, dizziness, difficulty concentrating, depression and spasms go away. Sound familiar? Repairing jugular venous stenosis is real, and it can heal the brain. Neurosurgeons and neurologists need to consider alterations to CSF in MS. Endovascular stenting is an approved treatment for idiopathic intracranial hypertension (IIH) with hundreds of successful procedures worldwide.

Spontaneous intracranial hypotension, of which brain slump is an extreme expression, is caused by a cerebrospinal fluid leak. The reason the leak develops in the first place, however, is unknown, and some cases can be very difficult to manage. We describe ...