The causes of the CSF leaks and their location (whether it's a spinal or cranial leak) determine the course of its treatment. Initially, certain conservative treatments are tried:Hydration - 2 to 3 liters.Bed rest - for up to two weeks,IV caffeine infusionSaline infusions.Additional instructions to patients might be given such as to avoid nose blowing, coughing, sneezing, and heavy lifting. Also, the patients might need to take stool softeners to prevent straining during bowel movements.If the conservative treatments fail to resolve the symptoms, surgery might be required as there is a risk of meningitis in CSF leaks.Endonasal Endoscopic Surgery- If it is a cranial CSF leak then a nasal endoscopy, microscope (for leak into the ear), lumbar drain (leak due to hydrocephalus) can be done to repair the leak.For Spinal CSF leaks the most common treatment is an epidural blood patch. In this, the surgeon would inject your own blood into your spine forming a blood clot to seal the leakage. If the blood patch even after several attempts does not work then other grafting substances (fat patches, epidural fibrin glue, muscle patches) may be tried.