A case of Spontaneous Intracranial Hypotension Treated with ?Epidural Blood Patch

J Korean Neurol Assoc > Volume 13(1); 1995 > Article

Journal of the Korean Neurological Association 1995;13(1): 126-129.

자발성 두개내 저압 -경막외 혈액 봉합술로 치험한 1예 -

김상진, 김형준, 예종수, 허 경, 조효근, 김종덕, 김성은

인제대학교 신경과.방사선과, 봉생병원 신경과

A case of Spontaneous Intracranial Hypotension Treated with ?Epidural Blood Patch

Sang Jin Kim, M.D., Hyeong Jun Kim, M.D., Jong Su Ye, M.D., Kyoung Heo, M.D., Hyo Kun Cho, M.D., Jong Deok Kim, M.D., Sung Eun Kim, M.D.

Department of Neurology, and Radiology, College of Medicine, Inje University, Department of Neurology, Bongsaeng Hospital

Abstract

Spontaneous intracranial hypotension, a syndrome of low CSF pressure, occurs without preceding events such as lumbar puncture, back trauma, operative procedure or medical illness. The most characteristic symptom is a headache that may be severe when the patient is upright and relieved when the patient is recumbent. Associated symptoms include neck stiffness, nausea and vomiting, tinnitus, vertigo and subdural effusion or hematoma. This syndrome usually resolves spontaneously or with strict bed rest. When the headache persists or is incapacitating, more aggressive treatment may be necessary. Autologous epidural blood patch is highly effective in the management of spontaneous intracranial hypotension. We report a case of spontaneous intracranial hypotension successfully treated with epidural blood patch.