Continuous epidural saline infusion for spontaneous intracranial hypotension with cortical vein thrombosis: illustrative case

This case emphasizes the need for vigilance in suspecting CVT in SIH patients, particularly when symptoms persist. CESI is a safe and effective alternative for high-risk cases with subdural hematoma, promoting gradual stabilization of intracranial pressure while minimizing complications. Clinicians should tailor treatment to individual risk profiles to optimize outcomes for this rare clinical entity. https://thejns.org/doi/10.3171/CASE25571.