[Diagnosis of intracranial hypotension syndrome by a bolus or continuous epidural injection of normal saline solution].
A 75-year-old man had neck sprain by traffic accident. He had headache but not orthostatic at first. He also had dysesthesia and pain of upper limbs, neck pain, and nausea. His symptoms vanished immediately after 10 ml bolus thoracic epidural injection of normal saline for about one hour. Succeeding continuous epidural injection of normal saline (10 ml x h(-1)) made him symptom free until stopping injection. If headache of a patient vanished after epidural normal saline injection, a diagnosis of intracranial hypotension syndrome can be made. This patient became pain free after one trial of cervical epidural blood patch of 12 ml. Quantity of blood to be injected into the cervical epidural space can be decided by flood of injected blood from thoracic epidural vent tapped in advance.
Tsubaki
Takayuki
T
Department of Anesthesia, Kyushurousai Hospital, Kitakyushu 800-0252.
Matsuo
Yumiko
Y
Terada
Tadanori
T
Haranishi
Yasunori
Y
Sata
Takeyoshi
T
D000368:Aged; D017217:Blood Patch, Epidural; D006801:Humans; D007268:Injections, Epidural; D019585:Intracranial Hypotension / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D012965:Sodium Chloride / Q000008:administration & dosage*; D016896:Treatment Outcome
D012965:Sodium Chloride