Efficacy of radiologic targeting epidural blood patch for spontaneous intracranial hypotension patients with multiple-level leakages of cerebrospinal fluid : an analysis of 36 cases
10.3760/cma.j.issn.0254-1416.2016.12.021
- VernacularTitle:靶向硬膜外自体血介入术用于多区域脑脊液漏致自发性颅内低压治疗的临床效果:36例总结
- Author:
Feifang HE
;
Taidi ZHONG
;
Minjun LIU
;
Shina QIAO
;
Summing TIAN
;
Yishikawa SHINICHI
;
Kiyoshi MORITA
- Keywords:
Intracranial hypotention;
Subdural effusion;
Injections,epidural;
Blood patch,epidural
- From:
Chinese Journal of Anesthesiology
2016;36(12):1493-1496
- CountryChina
- Language:Chinese
-
Abstract:
Thirty-six spontaneous intracranial hypotension patients with multiple-level leakages of cerebrospinal fluid were enrolled in the study.After 30 patients received targeted epidural blood intervention for 2 times and 6 patients received targeted epidural blood intervention for 3 times,the clinical symptoms were completely relieved.During injection of autologous blood,pain at the puncture site occurred in 24 cases,radiating pain in upper extremities in 5 cases,numbness in the upper extremity in 9 cases,radiating pain in lower extremities in 6 cases,numbness in lower extremities in 7 cases,headache in 4 cases,dizziness in 3 cases and transient bradycardia in 3 cases.Most of these symptoms were self-relieved after the end of injection or after slowing the injection rate,and some were self-relieved hours later.Neck stiffness was found in 2 cases and self-relived within a few hours or days after operation,and no severe nervous systemrelated complications were found.Recurrence happened in 2 cases at 3 months after the end of treatment,and the symptoms were self-relieved after receiving targeted epidural blood intervention for a second time.The patients were followed up for 15-36 months,and no serious nervous system-related complications were observed.Therefore,targeted epidural blood intervention is safe and effective when used to treat spontaneous intracranial hypotension caused by multiple-level leakages of cerebrospinal fluid in patients.
