Early epidural blood patch in spontaneous intracranial hypotension.
Thirty patients with a typical orthostatic headache were treated by early lumbar epidural blood patch (EBP) without previously performing lumbar puncture or identifying a CSF leak and with or without typical MRI changes. A complete cure was obtained in 77% of patients after one (57%) or two (20%) EBPs. Spontaneous intracranial hypotension with typical orthostatic headache can be diagnosed without lumbar puncture and can be cured by early EBP in a majority of patients.
Berroir
S
S
Service de Neurologie, Lariboisière Hospital, Paris, France.
Loisel
B
B
Ducros
A
A
Boukobza
M
M
Tzourio
C
C
Valade
D
D
Bousser
M-G
MG
D000293:Adolescent; D000328:Adult; D000368:Aged; D017217:Blood Patch, Epidural / Q000379:methods; D001921:Brain / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D005082:Physical Exertion; D012008:Recurrence; D013353:Subdural Effusion / Q000150:complications / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D013904:Thoracic Vertebrae; D013997:Time Factors; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology