Soonchunhyang Med Sci.  2014 Jun;20(1):64-66.

Spontaneous Intracranial Hypotension Treated with Epidural Blood Patch

• Kim MG
• Ok SY
• Park SK
• Kim SH
• Lee SJ
• Park SY
• Kim SI
• Yoo JH

Abstract

Spontaneous intracranial hypotension is a syndrome caused by cerebrospinal fluid (CSF) leakage from the spinal dural sac. The most common symptom is a postural headache and other clinical symptoms may include nausea, vomiting, photophobia, diplopia, dizziness, and tinnitus. Usually, conservative treatments like hydration, bed rest, and administration of caffeine are recommended first, but epidural blood patch is regarded as the mainstay of treatment in the patients who do not respond to conservative therapy. Epidural blood patch was known that it provides the tamponade and seal of dural sac when performed at the leak site. Our patient was suspected the CSF leakage at cervicothoracic junction, but epidural blood patch was performed in lumbar level and the headache of patient was managed successfully for at least 1 year.

Keyword

Cerebrospinal fluid; Epidural blood patch; Intracranial hypotension

MeSH Terms

Bed Rest
Blood Patch, Epidural*
Caffeine
Cerebrospinal Fluid
Diplopia
Dizziness
Headache
Humans
Intracranial Hypotension*
Nausea
Photophobia
Tinnitus
Vomiting
Caffeine