The Korean Journal of Pain
- 제10권1호
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- Pages.109-112
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- 1997
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
경막외 혈액봉합술로 치험한 자발성 두개내 저압 -증례 보고-
Spontaneous Intracranial Hypotension Treated with Epidural Blood Patch -A case report-
- 문동언 (가톨릭대학교 의과대학 마취과학교실) ;
- 김병찬 (가톨릭대학교 의과대학 마취과학교실) ;
- 김영주 (가톨릭대학교 의과대학 마취과학교실) ;
- 이광수 (가톨릭대학교 의과대학 신경과학교실)
- Moon, Dong-Eon (Department of Anesthesiology, Catholic University Medical College) ;
- Kim, Byung-Chan (Department of Anesthesiology, Catholic University Medical College) ;
- Kim, Young-Ju (Department of Anesthesiology, Catholic University Medical College) ;
- Lee, Kwang-Soo (Department of Neurology, Catholic University Medical College)
- 발행 : 1997.05.31
초록
Spontaneous intracranial hypotension(SIH) is a rare syndrome of spontaneously occurring postural headache associated with low CSF pressure. It usually occur without evidence of any preceeding events such as lumbar puncture, back trauma, operative procedure, or medical illness. This syndrome usually resolves spontaneously or with strict bed rest. When the headache persists or is incapacitating, more aggressive treatment may be necessary. Autologous epidural blood patch is highly effective in the management of SIH. We experienced a case of SIH with downward displacement of brain in MRI and successfully treated with epidural blood patch.