The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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A Case Report of Spontaneous Intracranial Hypotension Treated with Cervical Epidural Blood Patch -A case report-

경추부 경막외 혈액 봉합술로 치료한 자발성 두개내 저압 -증례 보고-

  • Chung, Sung-Won (Department of Anesthesiology, Keimung University School of Medicine) ;
  • Do, Hyun-Woo (Department of Anesthesiology, Keimung University School of Medicine) ;
  • Lee, Jung-Koo (Department of Anesthesiology, Keimung University School of Medicine)
  • 정성원 (계명대학교 의과대학 마취과학교실) ;
  • 도현우 (계명대학교 의과대학 마취과학교실) ;
  • 이정구 (계명대학교 의과대학 마취과학교실)
  • Published : 1999.05.31
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Abstract

We report a patient with spontaneous intracranial hypotension. In addition to the cardinal feature of a postural headache and a low CSF pressure, the patient also had subdural hematoma demonstrated by brain MRI. Radionuclide cisternography revealed a CSF leakage in the intracranium. CSF leakage from spinal meningeal defects may be the most common cause of this syndrome. The headache is a consequence of the low CSF pressure producing displacement of pain-sensitive structures. Methods of treatment are identical to those for post-dural puncture headaches. We experienced a patient with spontaneous intracranial hypotension developed in the intracranium who was successfully managed with a cervical blood patch.

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