Publications
Efficacy of CT Guided Epidural Blood Patch for Spontaneous Intracranial Hypotension: a Case Series
Nischala Dixit, Gifty Susan Philip, Sai Kanth Deepalam, Anna Mary George, Shilpa Bhimasen Joshi, Anas P Abstract
Incidence of Supine intracranial hypotension(SIH) is 5/100000 in a year and is more common in females. It presents with pos-
tural headache secondary to structural dural weakness resulting in atraumatic cerebrospinal fluid leak. Variable treatment mo-
dalities exist however, targeted image guided autologous Epidural blood patch(EBP) has proven to be more effective in relieving
the symptoms. Six patients diagnosed with SIH presented to us with failure of conservative management and were successfully
treated with CT guided targeted EBP with immediate resolution of their symptoms. Targeted image guided epidural blood patch
seems to be a promising treatment modality in patients with SIH after failure of conservative strategies.
Keywords: spontaneous intracranial hypotension (SIH), cerebrospinal fluid (CSF) leak, orthostatic headache, CT myelog-
raphy, epidural blood patch, targeted epidural blood patch
