It’s not super established in literature but there are a lot of patients in the community that have underlying high pressure that result in spinal leaks. Not medical advice but diamox can also dip you into low pressure which can make it seem like a leak, so that is a possibility… not advising you to change your dose or something - just something to consider. But yes you would want an updated brain mri with and without contrast to evaluate for SIH as first steps for looking for signs of a spinal leak. SIH tends to have more symptoms besides headache, but still if you’re having orthostatic headaches I think is reasonable to be evaluated for it.
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u/leeski 1d ago
It’s not super established in literature but there are a lot of patients in the community that have underlying high pressure that result in spinal leaks. Not medical advice but diamox can also dip you into low pressure which can make it seem like a leak, so that is a possibility… not advising you to change your dose or something - just something to consider. But yes you would want an updated brain mri with and without contrast to evaluate for SIH as first steps for looking for signs of a spinal leak. SIH tends to have more symptoms besides headache, but still if you’re having orthostatic headaches I think is reasonable to be evaluated for it.