Document Detail


Bilateral Cervicothoracic Transforaminal Blood Patches for Persistent Headache From Spontaneous Intracranial Hypotension: A Case Report and Review.
MedLine Citation:
PMID:  21317779     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: Spontaneous intracranial hypotension (SIH) is an uncommon cause of headache that can be challenging to treat and can have serious clinical consequences. When symptoms persist despite conservative treatment, an interlaminar epidural blood patch is often performed, but may not be effective. METHODS: Case report and review of the literature. RESULTS AND DISCUSSION: In this clinical report, we describe a case of Spontaneous intracranial hypotension caused by a ventral dural tear at the cervicothoracic junction. Our patient suffered from recalcitrant postural headaches despite undergoing conventional interlaminar epidural blood patches. Bilateral transforaminal epidural blood patches were performed in order to deliver blood to the ventral epidural space at the site of the tear identified on magnetic resonance imaging. The transforaminal technique may be useful in patients who have failed conventional treatment, though a high degree of interventional experience and vigilance is required to safely perform this procedure.
Authors:
David Walega; Erin McComb; Joshua Rosenow
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-11
Journal Detail:
Title:  The Clinical journal of pain     Volume:  -     ISSN:  1536-5409     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507389     Medline TA:  Clin J Pain     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Departments of *Anesthesiology †Radiology ‡Neurosurgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
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