Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension in China
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 at C2: diagnosis and treatment of spontaneous intracranial hypotension.
Spontaneous intracranial hypotension in a 37-year-old man with intractable headaches was diagnosed on MR imaging. A generous CSF leak was identified at C2 on CT myelography. Successful treatment was performed with CT-guided blood patch at the leakage site after the patient had failed 2 lumbar blood patches. Imaging-guided precise placement of the blood patch is safe and recommended when a lumba...
متن کاملPredictors of the Treatment Response of Spontaneous Intracranial Hypotension to an Epidural Blood Patch
Spontaneous intracranial hypotension (SIH) is characterized by postural headache because of low cerebrospinal fluid (CSF) pressure. Brain magnetic resonance imaging (MRI) and radioisotope (RI) cisternography can be used to identify the site of a CSF leakage. Although autologous epidural blood patch (EBP) is a very effective treatment modality, some patients require a repeat autologous EBP. We i...
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 کاملdifferent mri signs in predicting the treatment efficacy of epidural blood patch in spontaneous intracranial hypotension: a case report
abstract the current mainstay of treatment in spontaneous intracranial hypotension (sih) is an epidural blood patch (ebp). although magnetic resonance imaging (mri) has a well-established role in the diagnosis of sih, imaging features regarding the treatment efficacy of ebp have rarely been discussed. we therefore sought to investigate and compare the sequential brain mri studies before and aft...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Neurological Surgery Part B: Skull Base
سال: 2017
ISSN: 2193-6331,2193-634X
DOI: 10.1055/s-0037-1606312