Spontaneous Intracranial Hypotension: Case Report with Subdural Hematomas, Steroid Dependency and Clinical Improvement after Myelography

2007 ◽  
Vol 68 (2) ◽  
pp. 87-90 ◽  
Author(s):  
J. Platz ◽  
T. Glücker ◽  
O. Gratzl ◽  
M. Woydt
Keyword(s):  
Case Report ◽  
Clinical Improvement ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Steroid Dependency ◽  
Subdural Hematomas

scholarly journals Spontaneous Intracranial Hypotension Associated With Bilateral Chronic Subdural Hematomas. Case Report.

2000 ◽  
Vol 40 (9) ◽  
pp. 484-488 ◽  
Author(s):  
Mineko MURAKAMI ◽  
Kentaro MORIKAWA ◽  
Akira MATSUNO ◽  
Kenshi KANEDA ◽  
Tadashi NAGASHIMA
Keyword(s):  
Case Report ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Subdural Hematomas

scholarly journals Percutaneous Epidural Hydrogel Sealant for the Treatment of Spontaneous Intracranial Hypotension: A Case Report of Chronic Thoracic Neuralgia and Technical Lessons Learned

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Michael G. Hillegass ◽  
Samuel F. Luebbert ◽  
Maureen F. McClenahan
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Lessons Learned ◽  
Injection Velocity ◽  
Thoracic Spinal Cord ◽  
Ct Guided ◽  
Thoracic Spinal ◽  
Needle Position

We report a case in which a 34-year-old female with refractory intracranial hypotension headaches due to a spontaneous dural tear was ultimately treated with CT-guided transforaminal epidural placement of a synthetic absorbable sealant (DuraSeal®). The procedure successfully resolved her headaches; however she subsequently developed thoracic neuralgia presumably due to mass effect of the sealant material on the lower thoracic spinal cord and nerve roots. This case report describes the potential for significant spinal cord and nerve root compression as well as the development of chronic neuralgia with the placement of epidural hydrogel and fibrin glue sealants. Careful consideration should be taken into the needle gauge, needle position, injectate volumes, and injection velocity when delivering the sealant to the epidural space. Use of an 18-gauge Tuohy needle with a slow but steady injection pressure, constant patient feedback, and a conservative injectate volume (less than 2 ml per level) may best optimize sealant delivery to minimize the risk of spinal cord compression and neurologic injury.

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
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