Epidural blood patch at C2: diagnosis and treatment of spontaneous intracranial hypotension

Ansaar Rai; Charles Rosen; Jeffrey Carpenter; Vincent Miele

Epidural blood patch at C2: diagnosis and treatment of spontaneous intracranial hypotension

AJNR Am J Neuroradiol. 2005 Nov-Dec;26(10):2663-6.

Authors

Ansaar Rai¹, Charles Rosen, Jeffrey Carpenter, Vincent Miele

Affiliation

¹ Department of Radiology, West Virginia University, Morgantown, WV 26506-9235.

PMID: 16286420
PMCID: PMC7976193

Abstract

Spontaneous intracranial hypotension in a 37-year-old man with intractable headaches was diagnosed on MR imaging. A generous CSF leak was identified at C2 on CT myelography. Successful treatment was performed with CT-guided blood patch at the leakage site after the patient had failed 2 lumbar blood patches. Imaging-guided precise placement of the blood patch is safe and recommended when a lumbar blood patch away from the leakage site could be ineffective.

Publication types

Case Reports

MeSH terms

Adult
Blood Patch, Epidural / methods*
Cerebrospinal Fluid Otorrhea / diagnostic imaging
Cerebrospinal Fluid Otorrhea / physiopathology
Cerebrospinal Fluid Otorrhea / therapy
Cervical Vertebrae / diagnostic imaging
Cervical Vertebrae / physiopathology
Headache Disorders / diagnosis
Headache Disorders / physiopathology
Headache Disorders / therapy
Humans
Intracranial Hypotension / diagnosis
Intracranial Hypotension / physiopathology
Intracranial Hypotension / therapy*
Magnetic Resonance Imaging
Male
Myelography
Tomography, X-Ray Computed