Spontaneous Intracranial Hypotension Treated with Epidural Blood Patch: A Case Report

Spontaneous intracranial hypotension (SIH) is a condition caused by spontaneous cerebrospinal fluid (CSF) leakage, resulting in orthostatic headache as the main symptom, but other symptoms such memory loss, nausea, and tinnitus may also be present. Various imaging techniques are used to diagnose SIH, with magnetic resonance myelography being an important tool for detecting leakage site of CSF. Conservative treatments including hydration, bed rest, intravenous caffeine have been tried limited success. Epidural blood patch (EBP) most commonly performed treatment SIH after failure conservative management. There different opinions about EBP procedure (e.g., blind vs. targeted EBP). This report describes according diagnosis initial lumbar EBP.