J Korean Pain Soc.  1999 May;12(1):157-161.

A Case Report of Spontaneous Intracranial Hypotension Treated with Cervical Epidural Blood Patch

• Chung SW
• Do HW
• Lee JK

Abstract

We teport a patient with spontaneous intracranial hypotension. In addition to the cardinal feature of a postural headache and a low CSF pressure, the patient also had subdural hematoma demonstrated by brain MRI. Radionuclide cisternography revealed a CSF leakage in the intracranium. CSF leakage from spinal meningeal defects may be the most common cause of this syndrome. The headache is a consequence of the low CSF pressure producing displacement of pain-sensitive structures, Methods of treatment are identical to those for post-dural puncture headaches. We experienced a patient with spontaneous intracranial hypotension developed in the intracranium who was successfully managed with a cervical blood patch.

Keyword

pain, spontaneous intracranial hypotension, headache; Technique, epidural blood patch

MeSH Terms

Blood Patch, Epidural*
Brain
Headache
Hematoma, Subdural
Humans
Intracranial Hypotension*
Magnetic Resonance Imaging
Post-Dural Puncture Headache