Spontaneous intracranial hypotension and epidural blood patch: A report involving seven cases(350 views) Ferraro F, Marano E, Petruzzi J, Tedeschi E, Santulli L, Elefante A
Anaesth Intensive Care (ISSN: 0310-057x), 2013 May; 41(3): 393-396.
Department of Anesthesiological, Surgical and Emergency Sciences, Second University of Naples, Naples, Italy
Department of Neurological Sciences, University of Naples Federico II, Italy
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Schievink, W. I., Louy, C., Precipitating factors of spontaneous spinal CSF leaks and intracranial hypotension (2007) Neurology, 69 (7), pp. 700-702. , DOI 10. 1212/01. wnl. 0000267324. 68013. 8e, PII 0000611420070814000014
Schievink, W. I., Moser, F. G., Pikul, B. K., Reversal of coma with an injection of glue (2007) Lancet, 369 (9570), p. 1402. , DOI 10. 1016/S0140-6736 (07) 60636-9, PII S0140673607606369
Pabaney, A. H., Mirza, F. A., Syed, N. A., Ahsan, H., Spontaneous dural tear leading to intracranial hypotension and tonsillar herniation in Marfan syndrome: A case report (2010) BMC Neurol, 10, p. 54
Ahmed, S. V., Jayawarna, C., Jude, E., Post lumbar puncture headache: Diagnosis and management (2006) Postgrad Med J, 82, pp. 713-716
Krisanda, T. J., Laucks, S. O., Pneumocephalus following an epidural blood patch procedure: An unusual cause of severe headache (1994) Annals of Emergency Medicine, 23 (1), pp. 129-131. , DOI 10. 1016/S0196-0644 (94) 70019-2
Hurtado, T. R., Clarkson, F. A., Pneumocephalus secondary to an epidural blood patch (2007) American Journal of Emergency Medicine, 25 (2), pp. 244-246. , DOI 10. 1016/j. ajem. 2006. 11. 012, PII S0735675706003561
Kozikowski, G. P., Cohen, S. P., Lumbar Puncture Associated with Pneumocephalus: Report of a Case (2004) Anesthesia and Analgesia, 98 (2), pp. 524-526
Couch, J. R., Persson, J., Treatment of spontaneous intracranial hypotension with epidural blood patch: Is a complex approach necessary or better than a simple one? (2012) Acta Anaesthesiol Scand, 56, pp. 1207-1209
O'Carroll, C. P., Brant-Zawadzki, M., The syndrome of spontaneous intracranial hypotension (1999) Cephalalgia, 19 (2), pp. 80-87. , DOI 10. 1046/j. 1468-2982. 1999. 019002080. x
Spontaneous intracranial hypotension and epidural blood patch: A report involving seven cases
Spontaneous intracranial hypotension is a rare condition caused by spontaneous cerebrospinal fluid leak. It is characterised by orthostatic headache, diffuse pachymeningeal enhancement on brain imaging and low cerebrospinal fluid pressure. Seven patients with spontaneous intracranial hypotension were treated conservatively: of these, four responded to drug treatment and three underwent a lumbar autologous epidural blood patch (EBP). A complete response was obtained in two patients after a single EBP; one patient underwent a second EBP and then became asymptomatic. Clinical improvement coincided with a dramatic reduction of pachymeningeal enhancement. The aetiology and brain imaging findings, and the technique and effectiveness of EBP are discussed.
Spontaneous intracranial hypotension and epidural blood patch: A report involving seven cases
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Spontaneous intracranial hypotension and epidural blood patch: A report involving seven cases