Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report-Reference-Cited by-同舟云学术

Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report

Published:2021-10 Issue:04 Volume:82 Page:e49-e52
ISSN:2193-6358
Container-title:Journal of Neurological Surgery Reports
language:en
Short-container-title:J Neurol Surg Rep

Author:

Liu Nan¹^ORCID,Fei Yue²,He Fei-fang²

Affiliation:

1. Department of Anesthesiology, Hangzhou Xiasha Hospital, Zhejiang, People's Republic of China

2. Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang, People's Republic of China

Abstract

Abstract Purpose of Review Spontaneous intracranial hypotension (SIH) is recognized far more commonly than before, and it is well known that SIH is sometimes complicated by chronic subdural hematoma (SDH). We reported a patient who was treated with epidural blood patch (EBP) five times for refractory SIH and SDH surgery. Recent Findings We experienced that targeted EBP was useful in refractory SIH, and also can be performed safely prior to drainage of the hematoma. Summary We report the case of SIH patient with a bilateral SDH who came to our hospital and was discharged 2 weeks later with no neurologic deficit after trephination and five times EBP treatment. It shows that targeted EBP was useful in refractory SIH, and also can be performed safely prior to drainage of the hematoma.

Publisher

Georg Thieme Verlag KG

Subject

Clinical Neurology,Surgery

Link

http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0041-1740153.pdf

Reference15 articles.

1. Cerebrospinal fluid leakage in intracranial hypotension syndrome: usefulness of indirect findings in radionuclide cisternography for detection and treatment monitoring;T Morioka;Clin Nucl Med,2008

2. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension;W I Schievink;JAMA,2006

3. Subdural hematoma in a patient with spontaneous intracranial hypotension and cerebral venous thrombosis;R Nardone;Neurol Sci,2010

4. The status of diagnosis and treatment to intracranial hypotension, including SIH;J P Lin;J Headache Pain,2017

5. Spontaneous intracranial hypotension: imaging in diagnosis and treatment;T J Amrhein;Radiol Clin North Am,2019

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