Rapid resolution of subdural hematoma after targeted epidural blood patch treatment in patients with spontaneous intracranial hypotension.

Jin Wang; Dan Zhang; Xiangyang Gong; Meiping Ding

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Rapid resolution of subdural hematoma after targeted epidural blood patch treatment in patients with spontaneous intracranial hypotension.

Author: Jin WANG ¹ ; Dan ZHANG ¹ ; Xiangyang GONG ² ; Meiping DING ³
Author Information

1. Department of Neurology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University, Hangzhou, Zhejiang 310016, China.
2. Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University, Hangzhou, Zhejiang 310016, China.
3. Department of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China. Email: meipingd@163.com.
Publication Type:Case Reports
MeSH: Adult; Blood Patch, Epidural; Female; Hematoma, Subdural; therapy; Humans; Intracranial Hypotension; therapy; Male; Middle Aged; Retrospective Studies
From: Chinese Medical Journal 2014;127(11):2063-2066
CountryChina
Language:English
Abstract:
BACKGROUNDSubdural hematoma (SDH) is a common complication of spontaneous intracranial hypotension (SIH). To date, the management of SDH caused by SIH remains controversial. In this paper, we reviewed the clinical course of SDH in patients with SIH, and discuss the underlying mechanism and attributing factors for rapid resolution of subdural hematomas after epidural blood patch (EBP) surgery.
METHODSWe retrospectively reviewed a cohort of seventy-eight SIH patients diagnosed and treated with targeted EBP in our neurology center. Patients who received early CT/MRI follow-up after EBP operation were included.
RESULTSA series of four cases of SIH complicated with SDHs were evaluated. Early follow-up neuroimages of these patients revealed that SDHs could be partially or totally absorbed just two to four days after targeted epidural blood patch treatment.
CONCLUSIONTargeted epidural blood patch can result in rapid hematoma regression and good recovery in some patients with a combination of SDH and SIH.