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Iterative epidural blood patch for recurrent spontaneous intracranial hypotension during pregnancy
Joséphine Grange1, Gilbert Lorre2, Guillaume Ducarme1
1Department of Obstetrics and Gynecology, Centre Hospitalier Departemental, La Roche sur Yon, France.
Abstract:
A 30-year-old woman at 28 weeks presented with sudden onset of intense headache, epigastric pain, hot flushes, nausea, vomiting, and stiff neck. Cerebral magnetic resonance imaging showed pathognonomic signs of spontaneous intracranial hypotension (SIH). Epidural blood patch was performed 2 times during pregnancy for symptoms relief in spite of medical treatments. No other recurrence was noted until the spontaneous delivery. SIH is a rare entity during pregnancy which may be diagnosed using magnetic resonance imaging. Iterative Epidural blood patch should be proposed to patients with SIH during pregnancy because it allowed faster symptoms improvement and patient relief with complete recovery than medical treatment only.
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