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Cervical epidural blood patch treatment is a choice for spontaneous intracranial hypotension

Hui Su1, Xiaoyang Lan1, Ya Cao1

  • 1Department of Neurology, Chinese PLA General Hospital First Medical Center, Beijing, China.

Technology and Health Care : Official Journal of the European Society for Engineering and Medicine
|September 13, 2024
PubMed

Insights

Cervical epidural blood patch (EBP) effectively treats intractable spontaneous intracranial hypotension (SIH). This CT-guided procedure offers symptomatic relief and good recovery with minimal complications.

Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Spontaneous intracranial hypotension (SIH) is a condition often treated with epidural blood patch (EBP).
  • Cervical EBP for SIH is understudied despite its potential efficacy.

Purpose of the Study:

  • To evaluate the efficacy and safety of computed tomography (CT)-guided cervical epidural blood patch (EBP) for treating intractable spontaneous intracranial hypotension (SIH).

Main Methods:

  • Retrospective analysis of 59 patients with intractable SIH treated with CT-guided cervical EBP.
  • Data collected included patient demographics, symptoms, imaging findings, treatment outcomes, and complications.

Main Results:

  • 91.5% of patients experienced orthostatic headache; 93.5% had upper cervical fluid collection on MRI.
  • Initial symptomatic relief was achieved in 76.3% of patients with one cervical EBP.
  • Minor complications included localized pain; all patients showed good recovery at long-term follow-up.

Conclusions:

  • CT-guided cervical EBP is a safe and effective treatment for intractable SIH.
  • The procedure is particularly beneficial for patients with significant upper cervical fluid collection.
Abstract

Keywords:
CT-guidedSpontaneous intracranial hypotensioncervical regionepidural blood patchextensive fluid collections

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