Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Chronic Subdural Hematoma after Spontaneous Intracranial Hypotension : A Case Treated with Epidural Blood Patch on C1-2

  • Kim, Byung-Won (Department of Neurosurgery, Yeungnam University College of Medicine) ;
  • Jung, Young-Jin (Department of Neurosurgery, Yeungnam University College of Medicine) ;
  • Kim, Min-Su (Department of Neurosurgery, Yeungnam University College of Medicine) ;
  • Choi, Byung-Yon (Department of Neurosurgery, Yeungnam University College of Medicine)
  • Received : 2011.03.29
  • Accepted : 2011.09.05
  • Published : 2011.09.28
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Abstract

Spontaneous cerebrospinal fluid (CSF) leak is a recognized cause of spontaneous intracranial hypotension (SIH). Subdural hematoma (SDH) is a serious but rare complication of SIH. An autologous epidural blood patch at the CSF-leak site can effectively relieve SIH. We report a case of bilateral SDH with SIH caused by a CSF leak originating at the C1-2 level. A 55-year-old male complained of orthostatic headache without neurological signs. His symptoms did not respond to conservative treatments including bed rest, hydration and analgesics. Magnetic resonance imaging showed a subdural hematoma in the bilateral fronto-parietal region, and computed tomography (CT) myelography showed a CSF leak originating at the C1-2 level. The patient underwent successful treatment with a CT-guided epidural blood patch at the CSF-leak site after trephination for bilateral SDH.

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References

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