Spontaneous Intracranial Hypotension and Epidural Blood Patch: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 216-219, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-161315
ABSTRACT
Spontaneous intracranial hypotension (SIH), a syndrome of low CSF pressure, occurs without preceeding events such as lumbar puncture, back trauma, an operative procedure, or medical illness. Postural headache, the most characteristic symptom, usually resolves spontaneously or with bed rest, hydration, and medication. Autologous epidural blood patch is an effective management of headache in SIH patients, and here we describe a one case successfully treated 5 times with an epidural blood patch. The patient had a cardinal feature of a postural headache, low CSF pressure, and showed CSF leakages on RI cisternography. The first three epidural blood patches improved the patient's headache markedly, but the headache recurred in one month. On her second RI cisternography, we found other CSF leakage sites. After a fifth epidural blood patch the patient became asymptomatic and remained so throughout 4 months of follow up. Epidural blood patches are considered the treatment of choice in SIH patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Punción Espinal
/
Procedimientos Quirúrgicos Operativos
/
Reposo en Cama
/
Estudios de Seguimiento
/
Parche de Sangre Epidural
/
Hipotensión Intracraneal
/
Cefalea
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2005
Tipo del documento:
Artículo
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