Epidural blood patch at C2: diagnosis and treatment of spontaneous intracranial hypotension.
نویسندگان
چکیده
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 lumbar blood patch away from the leakage site could be ineffective.
منابع مشابه
Diagnosis and treatment of spontaneous intracranial hypotension due to cerebrospinal fluid leakage
INTRODUCTION Spontaneous intracranial hypotension is one of the causes of a postural headache in young people. In this study, the diagnosis and treatment results of a case of intracranial hypotension headache due to spinal cerebrospinal fluid leakage were reported. Up to now, there is not absolutely effective treatment for intracranial hypotension headache. CASE DESCRIPTION A 32-year-old woma...
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 کاملSpontaneous intracranial hypotension: presentation, diagnosis, and treatment.
1327 December 2014 B ecause of cerebrospinal fluid (csF) leak, orthostatic headaches sometimes follow neuraxial blockade or diagnostic lumbar puncture. etiology and treatment are straightforward in those settings, since a site of dural disruption is known.1,2 With patient consent, we present a case in which intracranial hypotension resulted from dural puncture by a vertebral osteophytic spur. T...
متن کاملIntrathecal saline infusion in the treatment of obtundation associated with spontaneous intracranial hypotension: technical case report.
OBJECTIVE AND IMPORTANCE Spontaneous intracranial hypotension is an increasingly recognized cause of postural headache. However, appropriate management of obtundation caused by intracranial hypotension is not well defined. CLINICAL PRESENTATION A 43-year-old man presented with postural headache followed by rapid decline in mental status. Imaging findings were consistent with the diagnosis of ...
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 ...
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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 26 10 شماره
صفحات -
تاریخ انتشار 2005