Epidural Blood Patch in the Treatment of Spontaneous Intracranial Hypotension
Vol 9 | Issue 2 | May-August 2023 | Page: 08-10 | Bharathi Hosdurg, Parameswara Gundapppa
Author: Bharathi Hosdurg , Parameswara Gundapppa 
 Department of Anaesthesiology, Manipal Hospital Whitefield, Krishnarajapura, Bangalore, Karnataka, India.
 Department of Anaesthesiology, Manipal Hospital Bangalore, Kodihalli, Bangalore, Karnataka, India.
Address of Correspondence
Consultant, Department of Anaesthesiology, Manipal Hospital Whitefield, Krishnarajapura, Bangalore, Karnataka, India.
Spontaneous intracranial hypotension (SIH) can occur due to sub-dural haematoma which may be secondary to an unrecognized cerebrospinal fluid (CSF) leak. Here, we report a case of spontaneous intracranial hypotension post-surgery who was treated with epidural blood patch. The patient had initially undergone a bilateral fronto-parietal burrhole and evacuation of hematoma. Subsequently, he was readmitted 10 days later with worsening of consciousness and a possible unrecognized CSF leak causing low intracranial pressure was suspected. Epidural blood patch (EBP) has emerged as the most important nonsurgical treatment for spontaneous CSF leaks. We administered the lumbar epidural blood patch twice within a time span of 5 days after which a considerable improvement was seen in his sensorium.
Keywords: Epidural blood patch, Subdural haematoma, Subdural hygroma, CSF leak, Spontaneous intracranial hypotension
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|How to Cite this Article: Hosdurg B, Gundapppa P Epidural Blood | Patch in the Treatment of Spontaneous Intracranial Hypotension | Journal of Anaesthesia and Critical Care Case Reports | May-August 2023; 9(2): 08-10 | https://doi.org/10.13107/jaccr.2023.v09i02.217
Tags: CSF leak, Epidural blood patch, Spontaneous intracranial hypotension, Subdural haematoma, Subdural hygroma