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Spontaneous Intracranial Hypotension Treated with a Targeted CT-Guided Epidural Blood Patch
Joint Authors
Correia, Inês
Marques, Inês B.
Ferreira, Rogério
Sousa, Lívia
Cordeiro, Miguel
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-11
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Spontaneous intracranial hypotension (SIH) is an important cause of new daily persistent headache.
It is thought to be due to spontaneous spinal cerebrospinal fluid (CSF) leaks, which probably have a multifactorial etiology.
The classic manifestation of SIH is an orthostatic headache, but other neurological symptoms may be present.
An epidural blood patch is thought to be the most effective treatment, but a blind infusion may be ineffective.
We describe the case of a young man who developed an acute severe headache, with pain worsening when assuming an upright posture and relief gained with recumbency.
No history of previous headache, recent cranial or cervical trauma, or invasive procedures was reported.
Magnetic resonance imaging showed pachymeningeal enhancement and other features consistent with SIH and pointed towards a cervical CSF leak site.
After failure of conservative treatment, a targeted computer tomography-guided EBP was performed, with complete recovery.
American Psychological Association (APA)
Correia, Inês& Marques, Inês B.& Ferreira, Rogério& Cordeiro, Miguel& Sousa, Lívia. 2016. Spontaneous Intracranial Hypotension Treated with a Targeted CT-Guided Epidural Blood Patch. Case Reports in Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101203
Modern Language Association (MLA)
Correia, Inês…[et al.]. Spontaneous Intracranial Hypotension Treated with a Targeted CT-Guided Epidural Blood Patch. Case Reports in Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101203
American Medical Association (AMA)
Correia, Inês& Marques, Inês B.& Ferreira, Rogério& Cordeiro, Miguel& Sousa, Lívia. Spontaneous Intracranial Hypotension Treated with a Targeted CT-Guided Epidural Blood Patch. Case Reports in Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101203
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101203