Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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A Case of Recurrent Intracranial Hypotension after Successful Epidural Blood Patch

경막외강 혈액첩포 시술로 두통이 호전된 후 반복적으로 발생한 두개내 저압증 1예

  • Lee, Kee-Ra (Department of Neurology, Chonnam National University Medical School) ;
  • Choi, Sung-Min (Department of Neurology, Chonnam National University Medical School) ;
  • Lee, Seung-Han (Department of Neurology, Chonnam National University Medical School) ;
  • Park, Man-Seok (Department of Neurology, Chonnam National University Medical School) ;
  • Kim, Byeong-Chae (Department of Neurology, Chonnam National University Medical School) ;
  • Kim, Myeong-Kyu (Department of Neurology, Chonnam National University Medical School) ;
  • Cho, Ki-Hyun (Department of Neurology, Chonnam National University Medical School)
  • 이기라 (전남대학교 의과대학 신경과학교실) ;
  • 최성민 (전남대학교 의과대학 신경과학교실) ;
  • 이승한 (전남대학교 의과대학 신경과학교실) ;
  • 박만석 (전남대학교 의과대학 신경과학교실) ;
  • 김병채 (전남대학교 의과대학 신경과학교실) ;
  • 김명규 (전남대학교 의과대학 신경과학교실) ;
  • 조기현 (전남대학교 의과대학 신경과학교실)
  • Published : 2006.12.30
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Abstract

Intracranial hypotension is a benign disorder characterized by orthostatic headache. It is caused by CSF leakage, therefore its treatment of choice has been epidural blood patch when initial conservative treatments were not effective. We would like to report a 26-year-old patient with recurrent orthostatic intracranial hypotension in spite of the successful epidural blood patch several times. Her headache was caused by myelography 8 month ago. Cisternography showed a CSF leakage at the level of L1 vertebral body. Headache was resolved completely after epidural blood patch and then recurred 3 times several months after blood patch. Now, she is free from headache for 5 months after last blood patch.

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