Therapeutic intervention for iatrogenic thoracolumbar pseudomeningocele using ultrasound-guided aspiration and ultrasound-assisted epidural blood patch – A case report

2021 ◽  
Vol 75 ◽  
pp. 110508
Author(s):  
Kartik Sonawane ◽  
Aswani Baskaran ◽  
Ranjith Thampi ◽  
J. Balavenkatasubramanian
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Epidural Blood Patch ◽  
Ultrasound Guided ◽  
Blood Patch ◽  
Ultrasound Assisted

Symptomatic Postlaminectomy Cerebrospinal Fluid Leak Treated With 4-Dimensional Ultrasound-guided Epidural Blood Patch

2012 ◽  
Vol 24 (3) ◽  
pp. 222-225 ◽  
Author(s):  
Steven R. Clendenen ◽  
Stephen Pirris ◽  
Christopher B. Robards ◽  
Bruce Leone ◽  
Eric W. Nottmeier
Keyword(s):  
Cerebrospinal Fluid ◽  
Epidural Blood Patch ◽  
Cerebrospinal Fluid Leak ◽  
Ultrasound Guided ◽  
Blood Patch ◽  
Fluid Leak

Spontaneous Intracranial Hypotension Treated with CT-guided Cervical Epidural Blood Patch - A case report -

2007 ◽  
Vol 52 (1) ◽  
pp. 115 ◽  
Author(s):  
Jin Hye Min ◽  
Young Soon Choi ◽  
Yong Ho Kim ◽  
Woo Kyung Lee ◽  
Yong Kyung Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Intracranial Hypotension ◽  
Epidural Blood Patch ◽  
Spontaneous Intracranial Hypotension ◽  
Ct Guided ◽  
Blood Patch

Successful transforaminal epidural blood patch in a patient with multilevel spinal fusion

2020 ◽  
Vol 45 (9) ◽  
pp. 746-749
Author(s):  
Hanwool Ryan Choi ◽  
Benjamin Fuller ◽  
Michael Magdy Bottros
Keyword(s):  
Case Report ◽  
Spinal Fusion ◽  
Epidural Blood Patch ◽  
Autologous Blood ◽  
Anatomical Variations ◽  
Needle Insertion ◽  
Electrode Placement ◽  
Epidural Needle ◽  
First Case ◽  
Blood Patch

IntroductionEpidural blood patch (EBP) is a vital tool in treating postdural puncture headache (PDPH). Traditional interlaminar epidural needle insertion into the epidural space, however, may be challenging due to anatomical variations. As an alternative method, we successfully performed an EBP via transforaminal approach.Case reportA mid-50-year-old male patient with multilevel spinal fusion developed PDPH after a failed spinal cord stimulator electrode placement. A transforaminal EBP was carried out by injecting a total of 8 mL of autologous blood into the neuroforamen at the L1–L2 level bilaterally. Our patient’s positional headache resolved immediately after the procedure.DiscussionTo our knowledge, this is the first case reported of a transforaminal EBP in a patient with diffuse epidural adhesive fibrosis secondary to multilevel laminectomies and spinal fusion. This case report highlights potential risks and benefits of this novel technique and also discusses its therapeutic mechanism of action. We believe that a transforaminal EBP should be considered in patients who are poor candidates for the traditional interlaminar EBP.

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