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Korean Journal of Anesthesiology 2007;52(1):115-118.
DOI: https://doi.org/10.4097/kjae.2007.52.1.115   
Spontaneous Intracranial Hypotension Treated with CT-guided Cervical Epidural Blood Patch : A case report.
Jin Hye Min, Young Soon Choi, Yong Ho Kim, Woo Kyung Lee, Yong Kyung Lee, Hong Seok Chai, Young Keun Chae
Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine, Gangneung, Korea. ykchae@kwandong.ac.kr
Spontaneous intracranial hypotension due to spinal cerebrospinal fluid leakage is uncommon, relatively benign and usually self-limiting. However it is being increasingly recognized as a cause of postural headaches. The treatment options range from conservative supportive measures to an pidural blood patch. We report a 40-year-old woman who developed intracranial hypotention without any preceding events such as lumbar puncture, back trauma, surgical procedures or medical illnesses. The site of the cerebrospinal fluid leakage was identified at between the C1 to C2 level using computerized tomographic myelography. Consequently, the patient underwent a CT-guided autologous epidural blood patch at the C3-C4 level. Her symptoms were relieved immediately without recurrence.
Key Words: epidural blood patch; headache; spontaneous intracranial hypotension


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