A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works

Spontaneous intracranial hypotension caused by cerebrospinal fluid (CSF) leak is a rarely encountered cause of persistent postural headaches in the absence of trauma or dural puncture. It presents with postural headache and is characterized by radiological findings of spinal CSF leak. The mainstay o...

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Autores principales: Swain, Amlan, Sahu, Seelora, Kumari, Rashmi, Tripathi, Manjul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9813988/
https://www.ncbi.nlm.nih.gov/pubmed/36620106
http://dx.doi.org/10.4103/aer.aer_131_22
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author Swain, Amlan
Sahu, Seelora
Kumari, Rashmi
Tripathi, Manjul
author_facet Swain, Amlan
Sahu, Seelora
Kumari, Rashmi
Tripathi, Manjul
author_sort Swain, Amlan
collection PubMed
description Spontaneous intracranial hypotension caused by cerebrospinal fluid (CSF) leak is a rarely encountered cause of persistent postural headaches in the absence of trauma or dural puncture. It presents with postural headache and is characterized by radiological findings of spinal CSF leak. The mainstay of management is an epidural patch with the patient's own blood (epidural blood patch [EBP]) and/or a fibrin glue product. We report here a case of spontaneous intracranial hemorrhage presenting with persistent headaches and bilateral subdural hematomas secondary to CSF leaks at multiple levels along the spinal cord, which was successfully managed with a single lumbar EBP.
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spelling pubmed-98139882023-01-06 A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works Swain, Amlan Sahu, Seelora Kumari, Rashmi Tripathi, Manjul Anesth Essays Res Case Report Spontaneous intracranial hypotension caused by cerebrospinal fluid (CSF) leak is a rarely encountered cause of persistent postural headaches in the absence of trauma or dural puncture. It presents with postural headache and is characterized by radiological findings of spinal CSF leak. The mainstay of management is an epidural patch with the patient's own blood (epidural blood patch [EBP]) and/or a fibrin glue product. We report here a case of spontaneous intracranial hemorrhage presenting with persistent headaches and bilateral subdural hematomas secondary to CSF leaks at multiple levels along the spinal cord, which was successfully managed with a single lumbar EBP. Wolters Kluwer - Medknow 2022 2022-12-09 /pmc/articles/PMC9813988/ /pubmed/36620106 http://dx.doi.org/10.4103/aer.aer_131_22 Text en Copyright: © 2022 Anesthesia: Essays and Researches https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Swain, Amlan
Sahu, Seelora
Kumari, Rashmi
Tripathi, Manjul
A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works
title A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works
title_full A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works
title_fullStr A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works
title_full_unstemmed A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works
title_short A Single-Level Epidural Blood Patch for Multiple Cerebrospinal Fluid Leaks: How it Works
title_sort single-level epidural blood patch for multiple cerebrospinal fluid leaks: how it works
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9813988/
https://www.ncbi.nlm.nih.gov/pubmed/36620106
http://dx.doi.org/10.4103/aer.aer_131_22
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