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

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...

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Autores principales: Nan Liu, Yue Fei, Fei-fang He
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Lenguaje:EN
Publicado: Georg Thieme Verlag KG 2021
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Acceso en línea:https://doaj.org/article/6382056ab5284121901af00127337474
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spelling oai:doaj.org-article:6382056ab5284121901af001273374742021-12-01T23:46:40ZTargeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report2193-63582193-636610.1055/s-0041-1740153https://doaj.org/article/6382056ab5284121901af001273374742021-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740153https://doaj.org/toc/2193-6358https://doaj.org/toc/2193-6366Purpose 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.Nan LiuYue FeiFei-fang HeGeorg Thieme Verlag KGarticlespontaneous intracranial hypotensionchronic subdural hematomaepidural blood patchburr hole drainageSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENJournal of Neurological Surgery Reports, Vol 82, Iss 04, Pp e49-e52 (2021)
institution DOAJ
collection DOAJ
language EN
topic spontaneous intracranial hypotension
chronic subdural hematoma
epidural blood patch
burr hole drainage
Surgery
RD1-811
Neurology. Diseases of the nervous system
RC346-429
spellingShingle spontaneous intracranial hypotension
chronic subdural hematoma
epidural blood patch
burr hole drainage
Surgery
RD1-811
Neurology. Diseases of the nervous system
RC346-429
Nan Liu
Yue Fei
Fei-fang He
Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report
description 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.
format article
author Nan Liu
Yue Fei
Fei-fang He
author_facet Nan Liu
Yue Fei
Fei-fang He
author_sort Nan Liu
title Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report
title_short Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report
title_full Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report
title_fullStr Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report
title_full_unstemmed Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report
title_sort targeted epidural blood patch treatment for refractory spontaneous intracranial hypotension: a case report
publisher Georg Thieme Verlag KG
publishDate 2021
url https://doaj.org/article/6382056ab5284121901af00127337474
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AT yuefei targetedepiduralbloodpatchtreatmentforrefractoryspontaneousintracranialhypotensionacasereport
AT feifanghe targetedepiduralbloodpatchtreatmentforrefractoryspontaneousintracranialhypotensionacasereport
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