Abstract
Background: Spontaneous intracranial hypotension (SIH) is considered to be an uncommon disease caused by cerebrospinal fluid leakage. It is characterized by an orthostatic headache without history in the past of trauma or dural puncture. There is no consensus about level, volume and number of epidural blood patch (EBP) for SIH treatment in literature.
Methods: Our objective was to report a 38-year-old woman with SIH at two different levels (lumbar and cervical) as demonstrated by spine MRI and SPECT CT, treated by single lumbar low-volume EBP.
Results: The patient achieved good symptoms relief, with complete remission of headache, nausea and vomits. Besides, no complications occurred as consequence of the procedure and the discharged happened two days afterwards.
Conclusion: In spite of low volume used in the blood patch and of the existence of another CSF leak in a distant site, it is possible to obtain good results and at same time, to minimize complications due to higher blood volume patches application.
Keywords: Spontaneous Intracranial Hypotension; Epidural Blood Patch; Headache
References
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