Epidural blood patch for spontaneous intracranial hypotension (SIH): a report of two cases

被引:3
作者
Arumugam, Ganesh [1 ]
Ram, Sudha [2 ]
Naidu, Bhaskar P. [2 ]
Kumaravelu, Selvakumar [2 ]
机构
[1] Sri Sathya Sai Inst Higher Med Sci, Dept Neurosurg, Whitefield 560066, Bengaluru, India
[2] Sri Ramachandra Inst Higher Educ & Res, Dept Neurosurg, Chennai, Tamil Nadu, India
关键词
Intracranial hypotension; epidural blood patch; magnetic resonance imaging findings; treatment options; SUBDURAL-HEMATOMA; STRATEGIES; HEADACHE; LEAKS;
D O I
10.1177/0049475520933140
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
One of the latest diagnoses that need to be considered when evaluating patients with persistent headache is spontaneous (postural) intracranial hypotension (SIH). The diagnosis can be clinched by magnetic resonance imaging (MRI) findings of subdural collections, meningeal enhancement and tonsillar descent. Cerebrospinal fluid leak has been postulated as the cause, and both medical and surgical treatment options have been documented. The treatment of choice is, however, an epidural blood patch. Here we discuss two cases of SIH treated successfully with epidural blood patch.
引用
收藏
页码:369 / 373
页数:5
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