J Korean Pain Soc.  1997 May;10(1):109-112.

Spontaneous Intracranial Hypotension Treated with Epidural Bllod Patch

• Moon DE
• Kim BC
• Kim YJ
• Lee KS

Abstract

Spontaneous intracranial hypotension (SIH) is a rare syndrome of spontaneously occurring postural headache associated with low CSF pressure. It usually occur without evidence of any preceeding events such as lumbar puncture, back trauma, operative procedure, or medical illness. This syndrome usually resolves spontaneously or with strict bed rest. When the headache persists or is incapacitating, more aggressive treatment may be necessary. Autologous epidural blood patch is highly effective in the management of S1H. We experienced a case of SIH with downward displacement of brain in MRI and successfully treated with epidural blood patch.

Keyword

Anesthetic techniques, epidural blood patch; Headache, spontaneous intracranial hypo- tension

MeSH Terms

Bed Rest
Blood Patch, Epidural
Brain
Headache
Intracranial Hypotension*
Magnetic Resonance Imaging
Spinal Puncture
Surgical Procedures, Operative