title: [Intracranial hypotension syndrome treated with an epidural blood patch].
abstract: A 41-year-old woman was admitted to the internal medicine department to assess incapacitating postural headache. Clinical findings suggested the need for computed tomography and nuclear magnetic resonance scanning of the head, which led to a diagnosis of spontaneous intracranial hypotension syndrome. Later, isotopic cysternography and nuclear magnetic resonance imaging of the spine were used unsuccessfully to try to locate the cerebrospinal fluid leak that caused the syndrome. When conservative treatment proved ineffective, the pain clinic was called in to perform an epidural blood patch procedure. The patch led to an improvement in symptoms and the syndrome resolved completely after a second lumbar blood patch was used.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital General Universitario de Albacete.
authors.forename: A B
authors.initials: AB
authors.lastname: Cuartero del Pozo
authors.forename: M
authors.initials: M
authors.lastname: Arcas Molina
authors.forename: M
authors.initials: M
authors.lastname: Gerónimo Pardo
authors.forename: M R
authors.initials: MR
authors.lastname: Calero Calero
authors.forename: M
authors.initials: M
authors.lastname: Cortiñas Saez
authors.forename: J M
authors.initials: JM
authors.lastname: Jiménez Vizuete
authors.forename: J
authors.initials: J
authors.lastname: Gómez Garrido
mesh_terms: D000328:Adult; D017217:Blood Patch, Epidural; D005260:Female; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000628:therapy*