TOP![[Intracranial Hypotension Surgery] Headaches that Disappear When Lying Down: Leaving Them Untreated Can Lead to Brain Hemorrhage Risk? 블러드패치 두개내저압증 효과 있을까? > English Articles | 강서구 화곡역 서울제일신경외과의원 - 정형외과/신경외과 진료](https://www.endospine.co.kr/theme/seoulbest/img/h_logo.png){kind=logo}
[Intracranial Hypotension Surgery] Headaches that Disappear When Lying Down: Leaving Them Untreated Can Lead to Brain Hemorrhage Risk? 블러드패치 두개내저압증 효과 있을까?
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작성자 서울제일 작성일 작성일26-10-22 10:42본문
[Intracranial Hypotension Surgery] Headaches that Disappear When Lying Down: Leaving Them Untreated Can Lead to Brain Hemorrhage Risk?
Is it surprisingly fine when you're lying down, but the moment you stand or sit up, you experience a head-splitting headache? If taking painkillers by the handful doesn't help at all, this may not be a simple migraine, but a serious condition where fluid protecting the brain is leaking out. Today, we will take a detailed look at why intracranial hypotension surgery is necessary to address the exact cause.
When you open your eyes in the morning, your head feels light and pain-free. But after standing or sitting for just 10 minutes, have you ever experienced a stiff, tightening pain extending from the back of your neck to the top of your head? Many people who experience these symptoms mistake them for simple stress headaches, fatigue, or neck disc issues, taking painkillers repeatedly. However, no matter how many pills you take, the pain doesn't decrease at all, and only when you lie back down on the bed does the pain magically vanish. When these positional (orthostatic) headaches recur, we face a situation where we must seriously consider intracranial hypotension surgery.Source: Korean Neurosurgical Society Clinical Guidelines
Our brain and spinal cord are safely protected, floating in a clear, transparent fluid called 'cerebrospinal fluid' (CSF). About 500 ml of this fluid is produced and naturally absorbed daily, serving as a cushion to maintain constant pressure. However, if a microscopic tear or invisible hole forms in the dura mater—the membrane wrapping around the spinal cord—this fluid starts leaking outward. As the total volume decreases, the buoyancy supporting the brain vanishes, causing the brain to sag or sink downward due to gravity when a person stands up. During this process, sensitive blood vessels and nerves supporting the brain are pulled tightly, triggering unbearable pain.Source: Korea Disease Control and Prevention Agency (KDCA) Rare Disease Helpline
Treating these symptoms lightly as "just a mild headache that gets better when lying down" is an extremely dangerous choice. As the brain continues to sink, veins on the brain's surface expand excessively and endure continuous traction, eventually reaching a point where blood vessels can rupture. In clinical practice,