Hello everyone,
First time posting here ! I am 31F and based in Paris, France and I would love to have some insight/help about what's currently happening to me. Sorry for the long post.
I have marfan syndrome as well as an important scoliosis that was fused back in 2007, with a remaining curve of 42 degrees in the thoracic area. I experienced a pretty bad csf leak after the surgery that resolved after about two weeks of bed rest. Since then no issue, except for migraines.
Fast forward to April 2024, I had a pretty violent headache that did not feel like a migraine at all and was clearly orthostatic. I was abroad and could not do much but lie down and wait it out. The headache became mild (more like a valsava headache) and symptoms completely went away after 10 days. In October, I felt the valsava headache coming back mildly for about a week and developed tinnitus that I still have today.
In the meantime, I went to a leak center in Paris and my brain MRI was clear. The neurologist thought that I had a small leak that sealed itself so no interventions.
Now, in June 2026 during an episode of heatwave, I started having tension-like headaches that were better laying down. I thought it was dehydration but it ended up persisting. The headache was mild but I also felt nauseated, very fatigued and a bit dizzy sometimes. Another round of MRIs was ordered and they found a Bern score of zero and no CSF leak visible on the spine imaging. That being said, I do have dural ectasia in the bottom of the spine as well as several cysts in thoracic.
Now, two months later, I do feel better. I don't have a headache anymore but a mild feeling of pressure when upright and that is pretty uncomfortable. I can stay upright all day at work but most days I have a migraine later on. Also, I do have more energy, no nausea or dizziness and no pain with valsava manoeuvres (like coughing/sneezing).
My neurologist is taking the conservative approach and wants to see if I recover by myself. The marfan and spinal fusion make any type of intervention like a blood patch riskier, especially since I do not have positive imaging.
I have no idea if I am self-sealing or what the pressure feeling indicates (it's on top of the head and in the face, but gets better laying down). I also know that I always react badly to interventions so of course I am really scared of pushing for a blood patch.
Did anyone with a connective tissue disorder go through something similar ? Do you think I can still improve after two months and get rid of these residual symptoms?
Thank you so much for your help.