[Image-guided epidural blood patch as effective treatment of intracranial hypotension. A case report].
We report the case of a patient with postural headache. A CT scan revealed bilateral subdural hygroma. Brain MRI showed diffuse pachymeningeal enhancement. A diagnosis of intracranial hypotension was therefore made. Thoracic cerebrospinal fluid leak was proved by radionuclide cisternography and contrast myelography. Conservative medical treatment was ineffective. Two thoracic epidural blood patches with radiographic control were made. We think the blood patch is the most important element for success.
Praline
J
J
Service de Neurologie, CHU Bretonneau, 37044 Tours Cedex. julien.praline@wanadoo.fr
Cottier
J-Ph
JP
Aesch
B
B
Herbreteau
D
D
Jan
M
M
D017217:Blood Patch, Epidural / Q000379:methods*; D006261:Headache / Q000209:etiology; D006801:Humans; D019585:Intracranial Hypotension / Q000000981:diagnostic imaging / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009192:Myelography; D011877:Radionuclide Imaging; D013353:Subdural Effusion / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed