J Korean Neurosurg Soc.  2012 Sep;52(3):254-256.

Treatment with Epidural Blood Patch for Iatrogenic Intracranial Hypotension after Spine Surgery

• Kim J
• Lee S
• Ko Y
• Lee W

Abstract

Intracranial hypotension syndrome typically occurs spontaneously or iatrogenically. It can be associated with headache, drowsy mentality and intracranial heamorrhage. Iatrogenic intracranial hypotension can occur due to dural pucture, trauma and spine surgery. Treatment may include conservative therapy and operation. We report a case of a 54-year-old man who was successfully treated with epidural blood patches for intracranial hypotension due to cerebrospinal fluid (CSF) leakage into the lumbosacral area after spine surgery.

Keyword

Intracranial hypotension; Secondary; Epidural blood patch; Spine; Complication; Therapy

MeSH Terms

Blood Patch, Epidural
Headache
Humans
Intracranial Hypotension
Middle Aged
Spine

Figure

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  Fig. 1 Initial magnetic resonance myelogram shows the leakage of cerebrospinal fluid into right posterolateral spinal canal & paraspinal area from thecal sac in lumbosacral spine.

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  Fig. 2 Magnetic resonance myelogram after the first epidural blood patch showing markedly decreased size of psudomeningocele.

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  Fig. 3 Final follow-up magnetic resonance myelogram after two procedures of epidural blood patch.

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