Hello, I'd be happy to help if I can. If you continue to have symptoms suggestive of a recurrent CSF leak, then it needs to be evaluated by a health professional.
While neck pain
may have a number causes ranging from musculoskeletal pain
, your history of prior brain surgery
and recent leak with repair significantly raises suspicion that this could be another leak.
I'm not entirely convinced that you need to rush off to the ER, but it would make sense to call/page your neurosurgeon and ask to see him/her as soon as possible.
Of course, if you are having nausea/vomiting or fevers, I would get to the ER to rule out meningitis
I hope this helps.