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KMID : 0911820120130020056
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Korean Journal of Headache
2012 Volume.13 No. 2 p.56 ~ p.59
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Cervical Epidural Patch for Spontaneous Intracranial Hypotension Caused by Upper Cervical CSF Leakage
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Kim Kyung-Jin
Kim Meyung-Kug
Yoo Bong-Goo
Ryu Sie-Jeong
Kim Sang-Jin
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Abstract
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Spontaneous intracranial hypotension rarely occurs at upper cervical level. A 55-year-old man was admitted to hospital for orthostatic headache, neck pain, nausea and vomiting for 2 weeks. Brain MRI showed a subdural hematoma in the bilateral fronto-temporo-parietal region and diffuse dural enhancement. Radioisotope cisternography revealed CSF leakage at upper cervical and thoracic vertebral level. The patient was successfully treated with C-arm-guided epidural blood patch at the C3-4 level after the patient had failed first epidural blood patch at thoracic level.
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KEYWORD
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Intracranial hypotension, Cerebrospinal fluid leak, Epidural blood patch
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