Journal of Anaesthesia & Critical Care Case Reports

Vol 9 | Issue 2 | May-August 2023 | Page: 08-10 | Bharathi Hosdurg, Parameswara Gundapppa

DOI: https://doi.org/10.13107/jaccr.2023.v09i02.217

Author: Bharathi Hosdurg [1], Parameswara Gundapppa [2]

[1] Department of Anaesthesiology, Manipal Hospital Whitefield, Krishnarajapura, Bangalore, Karnataka, India.
[2] Department of Anaesthesiology, Manipal Hospital Bangalore, Kodihalli, Bangalore, Karnataka, India.

Address of Correspondence

Dr.Bharathi Hosdurg
Consultant, Department of Anaesthesiology, Manipal Hospital Whitefield, Krishnarajapura, Bangalore, Karnataka, India.
Email: BharathiSunil61@gmail.com

Abstract

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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