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Abducens Nerve Palsy in Patient with Intracranial Hypotension After SpineSurgery

Lee SM, Park SH, Lee JE, Kim SJ

Purpose: We report a case of a patient with sixth cranial nerve palsy due to intracranial hypotension after lumbar disc surgery. Case Summary: A 56-year-old male patient complained of horizontal diplopia...
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Predictors of the Response to an Epidural Blood Patch in Patients with Spinal Leakage of Cerebrospinal Fluid

Kanno H, Yoshizumi , Nakazato N, Shinonaga

BACKGROUND AND PURPOSE: An epidural blood patch (EBP) is a highly effective therapy for spinal cerebrospinal fluid (CSF) leakage. However, the factors predicting the response to an EBP have not...
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Multiple epidural fibrin glue patches in a patient with spontaneous intracranial hypotension:A case report

Lee YG, Sa M, Oh IS, Lim JA, Woo NS, Kim JH

BACKGROUND: Spontaneous intracranial hypotension (SIH) is a condition caused by spontaneous leakage of cerebrospinal fluid, with postural headache as the primary symptom. Orthostatic headache caused by SIH is often not...
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Spontaneous Intracranial Hypotension Complicated by Cerebral Venous Thrombosis Relieved by Epidural Blood Patch

Jung YI, Kim BS, Seo J, Lee HJ, Yu HJ, Jeong EH, Sunwoo M, Park YK

Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache, diffuse dural thickening, and enhancement in magnetic resonance imaging. Cerebral venous thrombosis (CVT) has been reported to be a rare complication...
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Epidural blood patch treatment of diplopia that developed after headache resolution in a patient with spontaneous intracranial hypotension

Lee MS, Lee S, Seo DK, Yoon SH, Choi SS

Sudden headache onset may rarely be caused by spontaneous intracranial hypotension (SIH). Other associated symptoms in patients with SIH are nausea, vomiting, vertigo, hearing alteration, and visual disturbance. This case...
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Efficacy of bilateral greater occipital nerve block in postdural puncture headache: a narrative review

Nair AS, Kodisharapu PK, Anne P, Saifuddin , Asiel C, Rayani BK

The Epidural blood patch is considered the gold standard for managing postdural puncture headache when supportive measures fail. However, it is a procedure which can lead to another inadvertent dural...
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Iatrogenic Development of Cerebrospinal Fluid Leakage in Diagnosing Spontaneous Intracranial Hypotension

Lee CJ, Shim SM, Cho SH, Park JH, Kim YK

A 34-year-old woman came to the emergency room complaining of a severe orthostatic headache. Results of a cerebrospinal fluid tap and brain computed tomography were normal. Based on her history...
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Postdural puncture headache

Kwak KH

Postdural puncture headache (PDPH) is a common complication after inadvertent dural puncture. Risks factors include female sex, young age, pregnancy, vaginal delivery, low body mass index, and being a non-smoker....
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Sphenopalatine ganglion block for relieving postdural puncture headache: technique and mechanism of action of block with a narrative review of efficacy

Nair AS, Rayani BK

The sphenopalatine ganglion (SPG) is a parasympathetic ganglion, located in the pterygopalatine fossa. The SPG block has been used for a long time for treating headaches of varying etiologies. For...
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Postpartum spinal subdural hematoma: irrelevant epidural blood patch: a case report

Choe WJ, Kim JY, Yeo HJ, Kim JH, Lee SI, Kim KT, Park JS, Kim JW

We report a healthy patient with postpartum headache and neck stiffness which were diagnosed as symptoms of pseudoaneurysm of vertebral artery. She had received a Cesarean section under the spinal...
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Epidural Blood Patch Performed for Severe Intracranial Hypotension Following Lumbar Cerebrospinal Fluid Drainage for Intracranial Aneurysm Surgery. Retrospective Series and Literature Review

Tanweer O, Kalhorn SP, Snell JT, Wilson TA, Lieber BA, Agarwal N, Huang PP, Sutin KM

Intracranial hypotension (IH) can occur following lumbar drainage for clipping of an intracranial aneurysm. We observed 3 cases of IH, which were all successfully treated by epidural blood patch (EBP)....
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Spontaneous Intracranial Hypotension Treated with Epidural Blood Patch

Kim MG, Ok SY, Park SK, Kim SH, Lee SJ, Park SY, Kim SI, Yoo JH

  • KMID: 1910341
  • Soonchunhyang Med Sci.
  • 2014 Jun;20(1):64-66.
Spontaneous intracranial hypotension is a syndrome caused by cerebrospinal fluid (CSF) leakage from the spinal dural sac. The most common symptom is a postural headache and other clinical symptoms may...
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Intracranial Hypertension Following Epidural Blood Patch in a Patient With Spontaneous Intracranial Hypotension

Baek SH, Woo YS, Park JW, Kim JG, Cho KH

  • KMID: 1708061
  • J Korean Neurol Assoc.
  • 2014 Feb;32(1):30-33.
Epidural blood patch (EBP) is one of the treatments for spontaneous intracranial hypotension (SIH), and its complications have rarely been reported. We report a patient with SIH and developed intracranial...
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Relationship Between Findings on Brain MRI and Prognosis in Patients With Spontaneous Intracranial Hypotension

Park MH, Kim BC, Choi SM, Kim DE, Choi KH, Kim JT, Yoon W, Nam TS, Lee SH, Park MS, Kim MK, Cho KH

  • KMID: 1708057
  • J Korean Neurol Assoc.
  • 2014 Feb;32(1):14-18.
BACKGROUND: The outcome of spontaneous intracranial hypotension (SIH) is unpredictable and some patients have persistent and often incapacitating symptoms. This study was aimed to investigate whether abnormalities on initial magnetic...
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Temporary homonymous hemianopsia after epidural blood patch

Yeon H, Shin YO, Lee OY, Kwon E, Jeong EH

We describe a case in which homonymous hemianopsia developed abruptly following an epidural blood patch procedure. The procedure was performed in a patient complaining of post-dural puncture headache after an...
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Treatment with Epidural Blood Patch for Iatrogenic Intracranial Hypotension after Spine Surgery

Kim J, Lee S, Ko Y, Lee W

  • KMID: 2339947
  • J Korean Neurosurg Soc.
  • 2012 Sep;52(3):254-256.
Intracranial hypotension syndrome typically occurs spontaneously or iatrogenically. It can be associated with headache, drowsy mentality and intracranial heamorrhage. Iatrogenic intracranial hypotension can occur due to dural pucture, trauma and...
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Epidural Blood Patch for the Treatment of Abducens Nerve Palsy due to Spontaneous Intracranial Hypotension: A Case Report

Kim YA, Yoon DM, Yoon KB

Intracranial hypotension is characterized by a postural headache which is relieved in a supine position and worsened in a sitting or standing position. Although less commonly reported than postural headache,...
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Spontaneous Intracranial Hypotension, a Possible Cause of Chronic Subdural Hematoma

Lee SH, Kwon TH, Ha SK, Kim JH, Kim JH, Park YK

Although spontaneous intracranial hypotension were previously thought to be rare, they are now documented with increasing incidence by work up using advanced imaging techniques. We report our experience of CSF...
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Pseudomeningocele after lumbar discectomy treated with fibrin glue and epidural blood patch: A case report

Chung JY, Lee BJ, Kim YI, Kim YM, Yi JW, Kang JM, Kim DO

Pseudomeningocele is rare complication after lumbar discectomy. Most pseudomeningoceles are asymptomatic, but sometimes can cause headaches, infection, back pain, and radicular pain. Treatment modalities include conservative management, epidural blood patch,...
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Treatment of spontaneous intracranial hypotension with multiple leakage sites of cerebrospinal fluid : A case report

Ko HC, Jung JK, Moon HS, Song JH, Eum SH, Cha YD

  • KMID: 2046792
  • Anesth Pain Med.
  • 2008 Oct;3(4):330-333.
Spontaneous intracranial hypotension (SIH) is an uncommon disease that's caused by cerebrospinal fluid (CSF) leakage and this disease is considered to be an important cause of persistent headache. It is...
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