Cervical CT scan-guided epidural blood patches for spontaneous intracranial hypotension
| Autor: | Mark Marriott, Julian Maingard, Lauren Giles, Pramit M. Phal |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Leak Intracranial Hypotension Neuroimaging Computed tomography Radiography Interventional Cerebrospinal fluid Lumbar Refractory Physiology (medical) medicine Humans Spontaneous Intracranial Hypotension In patient Radionuclide Imaging Epidural blood patch Cerebrospinal Fluid Leak medicine.diagnostic_test business.industry General Medicine Surgery Treatment Outcome Neurology Cervical Vertebrae Female Neurology (clinical) Tomography X-Ray Computed business Blood Patch Epidural |
| Zdroj: | Journal of Clinical Neuroscience. 22:1973-1976 |
| ISSN: | 0967-5868 |
| DOI: | 10.1016/j.jocn.2015.04.011 |
| Popis: | We describe two patients with spontaneous intracranial hypotension (SIH), presenting with postural headache due to C1-C2 cerebrospinal fluid (CSF) leak. Both patients were refractory to lumbar epidural blood patching (EBP), and subsequently underwent successful CT scan-guided cervical EBP. SIH affects approximately 1 in 50,000 patients, with females more frequently affected. Its associated features are variable, and as such, misdiagnosis is common. Therefore, imaging plays an important role in the diagnostic workup of SIH and can include MRI of the brain and spine, CT myelogram, and radionuclide cisternography. In patients with an established diagnosis and confirmed CSF leak, symptoms will usually resolve with conservative management. However, in a select subgroup of patients, the symptoms are refractory to medical management and require more invasive therapies. In patients with cervical leaks, EBP in the cervical region is an effective management approach, either in close proximity to, or directly targeting a dural defect. CT scan-guided cervical EBP is an effective treatment approach in refractory SIH, and should be considered in those patients who are refractory to conservative management. |
| Databáze: | OpenAIRE |
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