1.Case Report of Epidnral Blood Patch for Post-Lumbar Puneture Headache .
Yun Ki MIN ; Kyu Dong EOM ; Kyu Hyun KWANG ; Kwang Won YUM
Korean Journal of Anesthesiology 1981;14(4):422-429
The epidural blood patch is a relatively new technique for treatment of post spinal headache. Injection of autologous blood into the epidural space afforded prompt and permanent relief. "Pathcing" the dura hole with autologous blood is the most direct therapy available. It has always been used within a few days of development of headache. This procedure may be considered for patients who continue to experience in capacitating symptoms following a trial of supportive therapy. In our patient the epidural blood patch was used successfully on four cases after the development of headache.
Blood Patch, Epidural
;
Epidural Space
;
Headache*
;
Humans
2.Treatment with Repeated Lumbar Epidural Blood Patches for a Patient with Orthostatic Headache after Suboccpital Craniectomy.
Seung Chul CHO ; Sung Kyu HONG ; Kyungmi OH ; Byung Jo KIM ; Kun Woo PARK ; Dae Hie LEE
Journal of the Korean Neurological Association 2005;23(5):690-693
Orthostatic headache after suboccipital craniectomy has been rarely reported. A 32-year-old man underwent emergent suboccipital craniectomy due to acute bilateral cerebellar infarctions with massive brain edema. Although his neurological deterioration halted after the craniectomy, he still suffered from a severe disabling orthostatic headache. We performed two epidural blood patches at the levels of the lumbar and thoracic spine. He improved considerably a few days after the repetitive epidural blood patches. Epidural blood patches may be a useful treatment modality for post-craniectomy postural headaches.
Adult
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Blood Patch, Epidural*
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Brain Edema
;
Headache*
;
Humans
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Infarction
;
Spine
3.Management of postdural puncture headache with epidural blood patch in a child.
Korean Journal of Anesthesiology 2011;61(4):344-345
No abstract available.
Blood Patch, Epidural
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Child
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Humans
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Post-Dural Puncture Headache
4.Treatment with Epidural Blood Patch for Iatrogenic Intracranial Hypotension after Spine Surgery.
Jaekook KIM ; Sunyeul LEE ; Youngkwon KO ; Wonhyung LEE
Journal of Korean Neurosurgical Society 2012;52(3):254-256
Intracranial hypotension syndrome typically occurs spontaneously or iatrogenically. It can be associated with headache, drowsy mentality and intracranial heamorrhage. Iatrogenic intracranial hypotension can occur due to dural pucture, trauma and spine surgery. Treatment may include conservative therapy and operation. We report a case of a 54-year-old man who was successfully treated with epidural blood patches for intracranial hypotension due to cerebrospinal fluid (CSF) leakage into the lumbosacral area after spine surgery.
Blood Patch, Epidural
;
Headache
;
Humans
;
Intracranial Hypotension
;
Middle Aged
;
Spine
5.Intracranial Hypertension Following Epidural Blood Patch in a Patient With Spontaneous Intracranial Hypotension.
Seol Hee BAEK ; Yeon Sun WOO ; Jin Woo PARK ; Jae Gyum KIM ; Kyung Hee CHO
Journal of the Korean Neurological Association 2014;32(1):30-33
Epidural blood patch (EBP) is one of the treatments for spontaneous intracranial hypotension (SIH), and its complications have rarely been reported. We report a patient with SIH and developed intracranial hypertension after EBP. The mechanism of rebound intracranial hypertension was uncertain. If the patient presented with a different type of headache or newly developed neurological symptoms after treatment of SIH, rebound intracranial hypertension should be considered and the proper treatment needed quickly.
Blood Patch, Epidural*
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Headache
;
Humans
;
Intracranial Hypertension*
;
Intracranial Hypotension*
6.Epidural Blood Patches in a Patient With Multi-level Cerebrospinal Fluid Leakage That Was Induced by Spontaneous Intracranial Hypotension.
The Korean Journal of Pain 2010;23(1):46-50
Spontaneous intracranial hypotension (SIH) is considered to be a very rare disorder. It is characterized by an orthostatic headache that is aggravated with the patient in the upright position and it is relieved by the patient assuming the supine position. SIH is caused by a spontaneous spinal cerebrospinal fluid leakage without the patient having undergone trauma, surgery or dural puncture or having any other significant medical history. An autologous epidural blood patch (EBP) is effective in relieving SIH. We report here on a case of SIH with cerebrospinal fluid leakage at the upper cervical vertebral level and the middle thoracic vertebral level. The points of leakage were identified by radionuclide cisternography, and this patient was successfully managed by injecting an EBP at each level of leakage.
Blood Patch, Epidural
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Headache
;
Humans
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Intracranial Hypotension
;
Punctures
;
Supine Position
7.Leaked CSF on Spine MRI in a Patient with Syndrome of CSF Hypovolemia.
Sun Ju CHUNG ; Jae Hong LEE ; Joo Hyuk IM ; Myoung Chong LEE
Journal of the Korean Neurological Association 2004;22(2):157-159
A 34-year-old woman was admitted because of severe orthostatic headache. On CSF examination, the opening pressure was below 30 mmH2O. A spine MRI showed a large collection of extradural fluid indicating that CSF leaked into the extradural space. The headache was resolved by an epidural blood patch. We present a patient with a syndrome of CSF hypovolemia, whose spine MRI showed a large amount of leaked CSF in the epidural space of the spine.
Adult
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Blood Patch, Epidural
;
Cerebrospinal Fluid
;
Epidural Space
;
Female
;
Headache
;
Humans
;
Hypovolemia*
;
Magnetic Resonance Imaging*
;
Spine*
8.Multiple Metastatic Brain Tumor: Complicated with Post-dural Puncture Headache : A case report.
Sang Ha LEE ; Hyun Soo JANG ; Jung Sam LEE ; Ok Sik HAN ; Woo Ri RYU
Anesthesia and Pain Medicine 2007;2(3):169-171
Epidural blood patch is an effective management for treatment of severe post-dural puncture headache. Here we describe a case of a patient with hip fracture, who was complained regarded as having suspicious post-dural puncture headache after epidural anesthesia, but it failed to be treated with 4 times of epidural blood patch, and later was diagnosed with multiple metastatic brain tumor.
Anesthesia, Epidural
;
Blood Patch, Epidural
;
Brain Neoplasms*
;
Brain*
;
Headache
;
Hip
;
Humans
;
Post-Dural Puncture Headache*
9.Epidural Blood Patch in Patient with Spontaneous Intracranial Hypotension: A case report.
Bong Chan JUNG ; Sang Il PARK ; Young Goun GO ; Yong Soub SHIN ; Won Hyoung LEE
Korean Journal of Anesthesiology 2005;49(6):897-900
Spontaneous intracranial hypotension is a syndrome characterized by postural headache without trauma, spinal anesthesia or other medical history. The headache is usually resolved in a few days or weeks if the patient remains in bed with good hydration. Relief can usually be obtained by the application of a blood patch, by injecting 10-20 ml of the patient's own blood into the epidural space close to the leakage site. In the overwhelming majority of patients, the leak is at the level of the spine, particularly the thoracic spine and cervicothoracic junction. Spontaneous intracranial hypotension presenting with mental change has rarely been reported. We report a 39 years old male patient who was diagnosed with spontaneous intracranial hypotension. The patient experienced continuous headache followed by slight mental change. The patient was successfully managed by 3 episodes of epidural blood patch.
Adult
;
Anesthesia, Spinal
;
Blood Patch, Epidural*
;
Epidural Space
;
Headache
;
Hematoma, Subdural
;
Humans
;
Intracranial Hypotension*
;
Male
;
Spine
10.Epidural Blood Patch in Patient with Spontaneous Intracranial Hypotension: A case report.
Bong Chan JUNG ; Sang Il PARK ; Young Goun GO ; Yong Soub SHIN ; Won Hyoung LEE
Korean Journal of Anesthesiology 2005;49(6):897-900
Spontaneous intracranial hypotension is a syndrome characterized by postural headache without trauma, spinal anesthesia or other medical history. The headache is usually resolved in a few days or weeks if the patient remains in bed with good hydration. Relief can usually be obtained by the application of a blood patch, by injecting 10-20 ml of the patient's own blood into the epidural space close to the leakage site. In the overwhelming majority of patients, the leak is at the level of the spine, particularly the thoracic spine and cervicothoracic junction. Spontaneous intracranial hypotension presenting with mental change has rarely been reported. We report a 39 years old male patient who was diagnosed with spontaneous intracranial hypotension. The patient experienced continuous headache followed by slight mental change. The patient was successfully managed by 3 episodes of epidural blood patch.
Adult
;
Anesthesia, Spinal
;
Blood Patch, Epidural*
;
Epidural Space
;
Headache
;
Hematoma, Subdural
;
Humans
;
Intracranial Hypotension*
;
Male
;
Spine