Chronic Subdural Hematoma after Spontaneous Intracranial Hypotension : A Case Treated with Epidural Blood Patch on C1-2
Journal of Korean Neurosurgical Society
; : 274-276, 2011.
Article
in En
| WPRIM
| ID: wpr-69783
Responsible library:
WPRO
ABSTRACT
Spontaneous cerebrospinal fluid (CSF) leak is a recognized cause of spontaneous intracranial hypotension (SIH). Subdural hematoma (SDH) is a serious but rare complication of SIH. An autologous epidural blood patch at the CSF-leak site can effectively relieve SIH. We report a case of bilateral SDH with SIH caused by a CSF leak originating at the C1-2 level. A 55-year-old male complained of orthostatic headache without neurological signs. His symptoms did not respond to conservative treatments including bed rest, hydration and analgesics. Magnetic resonance imaging showed a subdural hematoma in the bilateral fronto-parietal region, and computed tomography (CT) myelography showed a CSF leak originating at the C1-2 level. The patient underwent successful treatment with a CT-guided epidural blood patch at the CSF-leak site after trephination for bilateral SDH.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Trephining
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Bed Rest
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Magnetic Resonance Imaging
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Myelography
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Cerebrospinal Fluid
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Blood Patch, Epidural
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Intracranial Hypotension
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Hematoma, Subdural, Chronic
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Headache
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Hematoma, Subdural
Limits:
Humans
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Male
Language:
En
Journal:
Journal of Korean Neurosurgical Society
Year:
2011
Type:
Article