Intracranial Hypotension with Severe Neurological Symptoms Resolved by Epidural Blood Patch
نویسندگان
چکیده
منابع مشابه
Epidural 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 کاملSpontaneous intracranial hypotension with cerebrospinal fluid leakage at 2 sites treated by epidural blood patch.
PURPOSE Spontaneous intracranial hypotension (SIH) is a relatively uncommon cause of headache, which usually presents as orthostatic cranial pain and is relieved by recumbency. The precise cause of spontaneous spinal cerebrospinal fluid leakage related SIH remains unknown. CASE REPORT We report the case of a 32-year-old man who presented with an orthostatic headache. Brain magnetic resonance ...
متن کاملSpontaneous 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 کاملTreatment with Epidural Blood Patch for Iatrogenic Intracranial Hypotension after Spine Surgery
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 epidur...
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ژورنال
عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
سال: 2004
ISSN: 0317-1671,2057-0155
DOI: 10.1017/s0317167100003838