Korean J Anesthesiol.  2007 Jan;52(1):115-118. 10.4097/kjae.2007.52.1.115.

Spontaneous Intracranial Hypotension Treated with CT-guided Cervical Epidural Blood Patch : A case report

• Min JH
• Choi YS
• Kim YH
• Lee WK
• Lee YK
• Chai HS
• Chae YK

• KMID: 2236655
• DOI: http://doi.org/10.4097/kjae.2007.52.1.115

Abstract

Spontaneous intracranial hypotension due to spinal cerebrospinal fluid leakage is uncommon, relatively benign and usually self-limiting. However it is being increasingly recognized as a cause of postural headaches. The treatment options range from conservative supportive measures to an pidural blood patch. We report a 40-year-old woman who developed intracranial hypotention without any preceding events such as lumbar puncture, back trauma, surgical procedures or medical illnesses. The site of the cerebrospinal fluid leakage was identified at between the C1 to C2 level using computerized tomographic myelography. Consequently, the patient underwent a CT-guided autologous epidural blood patch at the C3-C4 level. Her symptoms were relieved immediately without recurrence.

Keyword

epidural blood patch; headache; spontaneous intracranial hypotension

MeSH Terms

Adult
Blood Patch, Epidural*
Cerebrospinal Fluid
Female
Headache
Humans
Intracranial Hypotension*
Myelography
Recurrence
Spinal Puncture