Abstract
Thirty patients with a typical orthostatic headache were treated by early lumbar epidural blood patch (EBP) without previously performing lumbar puncture or identifying a CSF leak and with or without typical MRI changes. A complete cure was obtained in 77% of patients after one (57%) or two (20%) EBPs. Spontaneous intracranial hypotension with typical orthostatic headache can be diagnosed without lumbar puncture and can be cured by early EBP in a majority of patients.
MeSH terms
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Adolescent
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Adult
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Aged
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Blood Patch, Epidural* / methods
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Brain / pathology
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Female
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Follow-Up Studies
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Humans
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Intervertebral Disc Displacement / complications
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Intracranial Hypotension / diagnosis
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Intracranial Hypotension / etiology
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Intracranial Hypotension / therapy*
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Nausea / etiology
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Physical Exertion
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Recurrence
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Subdural Effusion / complications
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Subdural Effusion / diagnosis
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Subdural Effusion / surgery
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Subdural Effusion / therapy
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Thoracic Vertebrae
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Time Factors
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Treatment Outcome
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Vomiting / etiology