The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Epidural Blood Patch to Treat Spontaneous Intracranial Hypotension

자발성 두개내 저압환자에서의 경막외 혈액봉합술

  • Lee, Cheong (Department of Anesthesiology, College of Medicine, University of Ulsan) ;
  • Song, Jun-Gol (Department of Anesthesiology, College of Medicine, University of Ulsan) ;
  • Park, Jae-Hong (Department of Anesthesiology, College of Medicine, University of Ulsan) ;
  • Shin, Jin-Woo (Department of Anesthesiology, College of Medicine, University of Ulsan) ;
  • Choi, Yoon (Department of Anesthesiology, College of Medicine, University of Ulsan) ;
  • Yun, Chang-Seob (Chungang Clinic)
  • 이청 (울산대학교 의과대학 마취과학교실) ;
  • 송준걸 (울산대학교 의과대학 마취과학교실) ;
  • 박재홍 (울산대학교 의과대학 마취과학교실) ;
  • 신진우 (울산대학교 의과대학 마취과학교실) ;
  • 최윤 (울산대학교 의과대학 마취과학교실) ;
  • 윤창섭 (중앙의원)
  • Published : 2000.06.30
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Abstract

Background: Spontaneous intracranial hypotension is a syndrome characterized by postural headache without trauma, spinal anesthesia or other medical history. The purpose of this study is to analyze the effect of epidural blood patch in spontaneous intracranial hypotension. Methods: The spontaneous intracranial hypotension patients treated with epidural blood patch were analyzed on the symptoms, radiologic images and methods of epidural blood patch retrospectively by the medical records. Results: Patients had postural headache (15 patients) including nausea/vomiting (10 patients), tinnitus (2 patients), neck stiffness (13 patients), vertigo (3 patients) and occular pain (1 patient). Brain CT and MRI showed diffuse enhancement of the pachymeninges (9 patients) and radionuclide cisternography demonstrated direct evidence of leakage (11 patients). With epidural blood patch, the symptoms were promptly relieved in 11 patients. Conclusions: We concluded that epidural blood patch is a good treatment of method in spontaneous intracranial hypotension patients.

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