Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension

A 45-year-old male was admitted with severe orthostatic headache secondary to spontaneous intracranial hypotension. He had the site of cerebrospinal fluid (CSF) leakage identified at the anterolateral aspect of the C7-T1 spinal level. He first underwent a conventional posterior-approach cervical epi...

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Detalles Bibliográficos
Autores principales: Shekhawat, Ravindra Singh, Yong, Ming Hui, Keong, Si Ying Julienne, Chen, Kunihiko, Too, Chow Wei, Hameed, Shahul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9553696/
https://www.ncbi.nlm.nih.gov/pubmed/36246054
http://dx.doi.org/10.1155/2022/8872775
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author Shekhawat, Ravindra Singh
Yong, Ming Hui
Keong, Si Ying Julienne
Chen, Kunihiko
Too, Chow Wei
Hameed, Shahul
author_facet Shekhawat, Ravindra Singh
Yong, Ming Hui
Keong, Si Ying Julienne
Chen, Kunihiko
Too, Chow Wei
Hameed, Shahul
author_sort Shekhawat, Ravindra Singh
collection PubMed
description A 45-year-old male was admitted with severe orthostatic headache secondary to spontaneous intracranial hypotension. He had the site of cerebrospinal fluid (CSF) leakage identified at the anterolateral aspect of the C7-T1 spinal level. He first underwent a conventional posterior-approach cervical epidural blood patch (EBP) which provided immediate relief to the patient's symptoms; however, his symptoms recurred two days later. To better target the anterolateral leakage site, we employed an anterior-approach EBP under computed tomography (CT) guidance. After this attempt, the patient experienced complete relief of his symptoms, and the headache eventually resolved.
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spelling pubmed-95536962022-10-13 Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension Shekhawat, Ravindra Singh Yong, Ming Hui Keong, Si Ying Julienne Chen, Kunihiko Too, Chow Wei Hameed, Shahul Case Rep Neurol Med Case Report A 45-year-old male was admitted with severe orthostatic headache secondary to spontaneous intracranial hypotension. He had the site of cerebrospinal fluid (CSF) leakage identified at the anterolateral aspect of the C7-T1 spinal level. He first underwent a conventional posterior-approach cervical epidural blood patch (EBP) which provided immediate relief to the patient's symptoms; however, his symptoms recurred two days later. To better target the anterolateral leakage site, we employed an anterior-approach EBP under computed tomography (CT) guidance. After this attempt, the patient experienced complete relief of his symptoms, and the headache eventually resolved. Hindawi 2022-09-19 /pmc/articles/PMC9553696/ /pubmed/36246054 http://dx.doi.org/10.1155/2022/8872775 Text en Copyright © 2022 Ravindra Singh Shekhawat et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shekhawat, Ravindra Singh
Yong, Ming Hui
Keong, Si Ying Julienne
Chen, Kunihiko
Too, Chow Wei
Hameed, Shahul
Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension
title Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension
title_full Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension
title_fullStr Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension
title_full_unstemmed Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension
title_short Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension
title_sort targeted anterior cervical epidural blood patch in a patient with spontaneous intracranial hypotension
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9553696/
https://www.ncbi.nlm.nih.gov/pubmed/36246054
http://dx.doi.org/10.1155/2022/8872775
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