Iterative epidural blood patch for recurrent spontaneous intracranial hypotension during pregnancy.
A 30-year-old woman at 28 weeks presented with sudden onset of intense headache, epigastric pain, hot flushes, nausea, vomiting, and stiff neck. Cerebral magnetic resonance imaging showed pathognonomic signs of spontaneous intracranial hypotension (SIH). Epidural blood patch was performed 2 times during pregnancy for symptoms relief in spite of medical treatments. No other recurrence was noted until the spontaneous delivery. SIH is a rare entity during pregnancy which may be diagnosed using magnetic resonance imaging. Iterative Epidural blood patch should be proposed to patients with SIH during pregnancy because it allowed faster symptoms improvement and patient relief with complete recovery than medical treatment only.
Department of Obstetrics and Gynecology, Centre Hospitalier Departemental, La Roche sur Yon, France.
Joséphine
J
Grange
Department of Anesthesiology, Centre Hospitalier Departemental, La Roche sur Yon, France.
Gilbert
G
Lorre
Department of Obstetrics and Gynecology, Centre Hospitalier Departemental, La Roche sur Yon, France. Electronic address: g.ducarme@gmail.com.
Guillaume
G
Ducarme
D000328:Adult; D017217:Blood Patch, Epidural; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D009325:Nausea / Q000209:etiology; D011247:Pregnancy; D012008:Recurrence; D014839:Vomiting / Q000209:etiology
Epidural blood patch; Pregnancy; Spontaneous intracranial hypotension