Epidural Blood Patches in a Patient With Multi-level Cerebrospinal Fluid Leakage That Was Induced by Spontaneous Intracranial Hypotension
The Korean Journal of Pain
; : 46-50, 2010.
Article
in En
| WPRIM
| ID: wpr-86973
Responsible library:
WPRO
ABSTRACT
Spontaneous intracranial hypotension (SIH) is considered to be a very rare disorder. It is characterized by an orthostatic headache that is aggravated with the patient in the upright position and it is relieved by the patient assuming the supine position. SIH is caused by a spontaneous spinal cerebrospinal fluid leakage without the patient having undergone trauma, surgery or dural puncture or having any other significant medical history. An autologous epidural blood patch (EBP) is effective in relieving SIH. We report here on a case of SIH with cerebrospinal fluid leakage at the upper cervical vertebral level and the middle thoracic vertebral level. The points of leakage were identified by radionuclide cisternography, and this patient was successfully managed by injecting an EBP at each level of leakage.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Punctures
/
Supine Position
/
Blood Patch, Epidural
/
Intracranial Hypotension
/
Headache
Limits:
Humans
Language:
En
Journal:
The Korean Journal of Pain
Year:
2010
Document type:
Article