Korean J Pain.  2005 Jun;18(1):60-63. 10.3344/kjp.2005.18.1.60.

10 Times Epidural Blood Patches for Spontaneous Intracranial Hypotension: A case report

• Park JH
• Yoon DM
• Lee YC
• Kim WO
• Yoon KB

• KMID: 2277961
• DOI: http://doi.org/10.3344/kjp.2005.18.1.60

Abstract

This report describes the successful treatment of spontaneous intracranial hypotension (SIH) with multiple cerebrospinal fluid (CSF) leaks using 10 applications of epidural blood patches (EBP). A forty year old female who suffered with a postural headache was diagnosed as having SIH. On the cisternography, multiple CSF leaks were noted at the thoracic and lumbar area. Her headache was not improved with conservative treatments such as bed rest, hydration and NSAIDS. So, she underwent treatment with EBPs. After 10 applications of site-directed EBPs, her headache was resolved gradually and completely without any complications.

Keyword

epidural blood patch; headache; spontaneous intracranial hypotension

MeSH Terms

Anti-Inflammatory Agents, Non-Steroidal
Bed Rest
Blood Patch, Epidural*
Cerebrospinal Fluid
Female
Headache
Humans
Intracranial Hypotension*
Anti-Inflammatory Agents, Non-Steroidal