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Epidural blood patch for treatment of spontaneous intracranial hypotension
Author(s) -
Waguri N.,
Tomita M.,
Hayatsu K.,
Okamoto K.,
Shimoji K.
Publication year - 2002
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1034/j.1399-6576.2002.460620.x
Subject(s) - medicine , epidural blood patch , cerebrospinal fluid , myelography , intracranial hypotension , epidural space , anesthesia , spontaneous intracranial hypotension , catheter , surgery , computed tomography , cerebrospinal fluid leakage , psychiatry , spinal cord
Spontaneous intracranial hypotension is an uncommon disease caused by cerebrospinal fluid leakage. We reported a case of a 42‐year‐old male with postural headache who was diagnosed as having spontaneous intracranial hypotension. His headache did not completely improve by conservative therapies, so he underwent an autologous epidural blood patch. The site of cerebrospinal fluid restoration was identified at the level from the C2 to Th7 epidural space by 111In‐DPTA cisternography and computed tomography coupled with myelography, and cervical EBP was performed. Because cerebrospinal fluid drops from the catheter, it is useful to identify the location of the catheter tip under contrast injection X‐ray. Rapid and dramatic relief from the headache was obtained, and no serious complications occurred.