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Successful epidural blood patch treatment for spontaneous low cerebrospinal pressure headache with multiple leakages

Chesda Udommongkol1, Samart Rajchadara, Ekachai Choedamphai

  • 1Division of Neurology, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand. chesda_udommongkol@yahoo.com

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|July 25, 2006
PubMed

The authors reported a 54 year-old Italian woman with headache attributed to spontaneous low cerebrospinal pressure and normal brain magnetic resonance imaging. Lumbar puncture was done and opening pressure was not measurable. 99mTc radionuclide cysternography was used in diagnosis and demonstrated 3 lumbar leakages and early appearance of bladder activity. Epidural blood patch was performed. This option was safe and successful to treat this kind of headache without relapse of symptoms after 3 years follow-up.

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