In Reply In their letter to the editor, Parissis et al correctly point out that intrathecal contrast-enhanced magnetic resonance myelography may have a negative impact on the symptoms of patients with spontaneous cerebrospinal fluid leaks and intracranial hypotension. It was beyond the scope of our brief article to provide a comprehensive in-depth review of the pros and cons of intrathecal contrast-enhanced magnetic resonance myelography or other methods to diagnose and treat spontaneous intracranial hypotension (SIH).