Fluoroscopically-guided epidural blood patch for spontaneous intracranial hypotension
نویسندگان
چکیده
منابع مشابه
Spontaneous Intracranial Hypotension Treated with a Targeted CT-Guided Epidural Blood Patch
Spontaneous intracranial hypotension (SIH) is an important cause of new daily persistent headache. It is thought to be due to spontaneous spinal cerebrospinal fluid (CSF) leaks, which probably have a multifactorial etiology. The classic manifestation of SIH is an orthostatic headache, but other neurological symptoms may be present. An epidural blood patch is thought to be the most effective tre...
متن کاملEpidural blood patch for severe postoperative intracranial hypotension.
Brain sag is a rare but serious postoperative complication after craniotomy. It is a clinical entity that refers to severe cerebrospinal fluid hypovolemia causing acute neurologic decompensation and obtundation. The established treatment is trendelenberg positioning. We present 3 cases of severe brain sag in which patients developed acute neurologic deterioration unresponsive to conventional tr...
متن کاملIntracranial subdural hematoma coexisting with improvement in spontaneous intracranial hypotension after an epidural blood patch.
A 36-year-old male had spontaneous intracranial hypotension (SIH) presenting with refractory headache for 4 months. Multiple epidural blood patches (EBPs) yielded relief of symptoms, but the course was complicated, with asymptomatic intracranial subdural hematoma (SDH). Except for SDH, other radiological diagnostic signs of SIH were resolved and the patient's headaches improved after EBP. Owing...
متن کامل[The epidural blood patch technique for the management of headache due to spontaneous intracranial hypotension].
Spontaneous intracranial hypotension is a clinical entity characterized by orthostatic headache, low CSF pressure and specific cranial imaging techniques. Headache can be accompanied by the symptoms such as tinnitus, vertigo, diplopia, nausea and vomiting. It is important for the diagnosis to show the level of CSF leakage. Epidural blood patch should be planned for the treatment of patients wit...
متن کاملFeasibility of placement of an anterior cervical epidural blood patch for spontaneous intracranial hypotension.
The dorsal epidural blood patch is a commonly used management technique for spontaneous intracranial hypotension from a dural CSF leak, but it may be less efficacious for cervical or ventral leaks. We report the technique of placing an anterior cervical blood patch for a large cervical ventral leak. To our best knowledge, this approach has not been reported. In the appropriately selected patien...
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ژورنال
عنوان ژورنال: Journal of Anaesthesiology Clinical Pharmacology
سال: 2015
ISSN: 0970-9185
DOI: 10.4103/0970-9185.169091