Korean J Crit Care Med.  2006 Dec;21(2):126-130.

A Case of Spontaneous Intracranial Hypotension with Headache and Tinnitus Treated with Epidural Blood Patch : A Case Report

• Lee BJ

Abstract

Spontaneous intracranial hypotension (SIH) is a syndrome of low cerebrospinal fluid pressure characterized by postural headaches in patients without any history of dural puncture, back trauma, operative procedure, or medical illness. The clinical spectrum of SIH is quite variable and includes headache, neck stiffness, nausea, horizontal diplopia, dizziness, tinnitus, visual blurring, radicular arm pain. When the headache persists or more incapacitating, more aggressive treatment may be necessary. Autologous epidural blood patch is used in the management of SIH and highly effective. I experienced a case of 39 year old female with postural headache and tinnitus who was diagnosed as having SIH and successfully treated with epidural blood patch.

Keyword

Epidural blood patch; Postural headche; Spontaneous intracranial hypotension

MeSH Terms

Arm
Blood Patch, Epidural*
Cerebrospinal Fluid Pressure
Diplopia
Dizziness
Female
Headache*
Humans
Intracranial Hypotension*
Nausea
Neck
Punctures
Surgical Procedures, Operative
Tinnitus*