Upright MRI in Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial Hypotension


  • Wouter I. Schievink MD,

  • James Tourje MD

  • From the Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA (Dr. Schievink); Imaging Medical Group, Cedars-Sinai Medical Center, Los Angeles, CA, USA (Dr. Tourje).

  • Conflict of Interest: The authors report no conflicts of interest.

Address all correspondence to Dr. Wouter I. Schievink, The Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, CA 90048, USA.


Orthostatic headaches are the hallmark of spontaneous intracranial hypotension, but MRIs are traditionally obtained in the supine position. We investigated the utility of upright MRI of the brain in 6 patients with spontaneous intracranial hypotension. No discernable differences were noted between the supine and upright images.