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Epidural blood patch for spontaneous intracranial hypotension
M C Rajesh1, Mohan Leslie Noone2, P S Harish Babu3
1Department of Anaesthesia, Baby Memorial Hospital, Kozhikode 673004, Kerala, India.
The National Medical Journal of India
|September 28, 2020
Summary
Spontaneous intracranial hypotension causes severe headaches that worsen when upright. An epidural blood patch effectively treated a patient
Area of Science:
- Neurology
- Neurosurgery
Background:
- Spontaneous intracranial hypotension (SIH) is a condition characterized by cerebrospinal fluid (CSF) loss.
- SIH often presents with orthostatic headaches, worsening with upright posture.
Observation:
- A 32-year-old woman experienced a month of severe holocranial headache.
- Headache intensity increased upon sitting or standing and improved when lying down.
- Analgesics provided no relief, but recumbency alleviated the pain.
Findings:
- Magnetic resonance imaging (MRI) confirmed the diagnosis of SIH.
- An epidural blood patch procedure was performed.
Implications:
- Epidural blood patching is an effective treatment for spontaneous intracranial hypotension.
- Prompt diagnosis and treatment can significantly improve patient outcomes and quality of life.
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