A Low-Volume Epidural Blood Patch for the Treatment of Spontaneous Intracranial Hypotension: A Case Report

被引：0

作者：

Simonova, Jana ^{[1
,2
]}

Jaselska, Stanislava ^{[3
]}

Simon, Robert ^{[4
,5
]}

Simonova, Michaela Jankova ^{[6
,7
]}

机构：

[1] Pavol Jozef Safarik Univ, Fac Med, Dept Anaesthesiol & Intens Med 1, Kosice, Slovakia

[2] Louis Pasteur Univ Hosp, Dept Anaesthesiol & Intens Med 1, Kosice, Slovakia

[3] Louis Pasteur Univ Hosp, Dept Neurol, Kosice, Slovakia

[4] Pavol Jozef Safarik Univ, Fac Med, Dept Surg, Kosice, Slovakia

[5] Louis Pasteur Univ Hosp, Dept Surg 1, Kosice, Slovakia

[6] Pavol Jozef Safarik Univ, Fac Med, Dept Neurosurg, Kosice, Slovakia

[7] Louis Pasteur Univ Hosp, Dept Neurosurg, Kosice, Slovakia

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 06期

关键词：

orthostatic headache; epidural blood patch; conservative treatment; spontaneous intracranial hypotension; cerebrospinal fluid leak; SPECTRUM;

D O I：

10.7759/cureus.63059

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Spontaneous intracranial hypotension (SIH) is a rare neurological syndrome. We report the case of a 47-yearold woman with acute, severe orthostatic headache after surgery, chemotherapy, and radiotherapy for breast cancer. The brain and spine magnetic resonance imaging showed signs of intracranial hypotension. We describe the results of a non-targeted epidural blood patch with 10 mL of the patient's blood administered after unsuccessful conservative treatment. After the procedure, the patient reported gradual headache relief. This effect persisted over one year. The case shows that a single non-targeted low-volume epidural blood patch can be an effective treatment option for a patient with SIH when conservative treatment fails.

引用

页数：8

共 18 条

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