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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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/8872775 |
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| author | Ravindra Singh Shekhawat Ming Hui Yong Si Ying Julienne Keong Kunihiko Chen Chow Wei Too Shahul Hameed |
| author_facet | Ravindra Singh Shekhawat Ming Hui Yong Si Ying Julienne Keong Kunihiko Chen Chow Wei Too Shahul Hameed |
| author_sort | Ravindra Singh Shekhawat |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-fbe39e1965aa49d5b9290fd0358c37b3 |
| institution | Kabale University |
| issn | 2090-6676 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-fbe39e1965aa49d5b9290fd0358c37b32025-02-03T01:20:06ZengWileyCase Reports in Neurological Medicine2090-66762022-01-01202210.1155/2022/8872775Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial HypotensionRavindra Singh Shekhawat0Ming Hui Yong1Si Ying Julienne Keong2Kunihiko Chen3Chow Wei Too4Shahul Hameed5Department of NeurologyDepartment of NeurologyDUKE-NUS Medical SchoolDUKE-NUS Medical SchoolDepartment of Vascular and Interventional RadiologyDepartment of NeurologyA 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.http://dx.doi.org/10.1155/2022/8872775 |
| spellingShingle | Ravindra Singh Shekhawat Ming Hui Yong Si Ying Julienne Keong Kunihiko Chen Chow Wei Too Shahul Hameed Targeted Anterior Cervical Epidural Blood Patch in a Patient with Spontaneous Intracranial Hypotension Case Reports in Neurological Medicine |
| 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 |
| url | http://dx.doi.org/10.1155/2022/8872775 |
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