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Spontaneous intracranial hypotension and single entry multi-site epidural blood patch.

Murphy D, Chandna A, Laing A, MacFarlane M - Asian J Neurosurg (2015 Jul-Sep)

Bottom Line: Multiple entries to the spinal epidural space, in an effort to alleviate symptoms, are therefore sometimes necessary.These procedures are based on that first published by Ohtonari et al. in 2012.It is, to our knowledge, the first undertaken in Australasia.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Christchurch Public Hospital, Christchurch, New Zealand.

ABSTRACT
The syndrome of spontaneous intracranial hypotension is often difficult to treat. Unfortunately, cerebrospinal fluid leaks are often numerous and difficult to detect radiologically. Multiple entries to the spinal epidural space, in an effort to alleviate symptoms, are therefore sometimes necessary. This case report details two patients treated successfully with a single lumbar entry point and the administration of a continuous multi-site epidural blood patch via a mobile catheter and their subsequent follow-up. These procedures are based on that first published by Ohtonari et al. in 2012. It is, to our knowledge, the first undertaken in Australasia.

No MeSH data available.


Related in: MedlinePlus

T1-weight coronal magnetic resonance imaging head postgadolinium posttreatment with resolution of the dural enhancement
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Related In: Results  -  Collection

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Figure 3: T1-weight coronal magnetic resonance imaging head postgadolinium posttreatment with resolution of the dural enhancement

Mentions: Patient B was not formally seen in an outpatient clinic but was followed-up via telephone at 6 months. She described suffering from neck and shoulder pain for a period of about 2 weeks postprocedure and a 3 weeks window of fatigue. She then returned to normal activities of daily living and has been symptom-free since [Figures 2 and 3].


Spontaneous intracranial hypotension and single entry multi-site epidural blood patch.

Murphy D, Chandna A, Laing A, MacFarlane M - Asian J Neurosurg (2015 Jul-Sep)

T1-weight coronal magnetic resonance imaging head postgadolinium posttreatment with resolution of the dural enhancement
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553750&req=5

Figure 3: T1-weight coronal magnetic resonance imaging head postgadolinium posttreatment with resolution of the dural enhancement
Mentions: Patient B was not formally seen in an outpatient clinic but was followed-up via telephone at 6 months. She described suffering from neck and shoulder pain for a period of about 2 weeks postprocedure and a 3 weeks window of fatigue. She then returned to normal activities of daily living and has been symptom-free since [Figures 2 and 3].

Bottom Line: Multiple entries to the spinal epidural space, in an effort to alleviate symptoms, are therefore sometimes necessary.These procedures are based on that first published by Ohtonari et al. in 2012.It is, to our knowledge, the first undertaken in Australasia.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Christchurch Public Hospital, Christchurch, New Zealand.

ABSTRACT
The syndrome of spontaneous intracranial hypotension is often difficult to treat. Unfortunately, cerebrospinal fluid leaks are often numerous and difficult to detect radiologically. Multiple entries to the spinal epidural space, in an effort to alleviate symptoms, are therefore sometimes necessary. This case report details two patients treated successfully with a single lumbar entry point and the administration of a continuous multi-site epidural blood patch via a mobile catheter and their subsequent follow-up. These procedures are based on that first published by Ohtonari et al. in 2012. It is, to our knowledge, the first undertaken in Australasia.

No MeSH data available.


Related in: MedlinePlus