Thoracic epidural blood patch with high volume blood for cerebrospinal fluid leakage of cervical spine (C2-3) complicated with spontaneous intracranial hypotension

Yi-Shan Chuang; Da-Tong Ju; Tai-Hsiang Chiu; Yi-Hsuan Huang; Chen-Hwan Cherng; Zhi-Fu Wu

doi:10.1016/j.aat.2015.06.003

Thoracic epidural blood patch with high volume blood for cerebrospinal fluid leakage of cervical spine (C2-3) complicated with spontaneous intracranial hypotension

Acta Anaesthesiol Taiwan. 2015 Sep;53(3):112-3. doi: 10.1016/j.aat.2015.06.003. Epub 2015 Jun 27.

Authors

Yi-Shan Chuang¹, Da-Tong Ju², Tai-Hsiang Chiu¹, Yi-Hsuan Huang¹, Chen-Hwan Cherng¹, Zhi-Fu Wu³

Affiliations

¹ Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
² Department of Neurosurgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
³ Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan. Electronic address: aneswu@gmail.com.

PMID: 26209024
DOI: 10.1016/j.aat.2015.06.003

Abstract

Acute and chronic subdural hemorrhage in a 33 year old woman with severe headache from occipital to frontal regions and dull neck pain was diagnosed on magnetic resonance image, which revealed cerebrospinal fluid leakage at C2-3 with spontaneous intracranial hypotension. Successful treatment was performed by epidural blood patch from the level of T7-T8 with injection of 20 mL of autologous blood.

Keywords: cerebrospinal fluid leakage; epidural blood patch; spontaneous intracranial hypotension.

Publication types

Case Reports
Letter

MeSH terms

Adult
Blood Patch, Epidural*
Cerebrospinal Fluid Leak / complications
Cerebrospinal Fluid Leak / therapy*
Cervical Vertebrae*
Female
Humans
Intracranial Hypotension / etiology*