• Tomohiro Tanaka, Tadatoshi Muratani, Yusuke Kusaka, and Toshiaki Minami.
• Department of Anesthesiology, Osaka Medical College, Takatsuki 569-8686.
• Masui. 2007 Aug 1;56(8):953-5.

AbstractWe report a case of treating intracranial hypotension with an epidural blood patch using closed system that allows blood collection and epidural injection without loss of continuity. The patient was a 34-year-old woman with severe headache for several months. The headache failed to respond to conservative management. By radioisotope cisternography, it was diagnosed as intracranial hypotension. Epidural blood patch was planned for intracranial hypotension. We used the method of epidural blood patch in a closed venous blood transfusion system to the epidural space, because she is a member of the Jehovah's Witness. Twenty five ml of blood was drawn into the syringe and injected into the epidural space with closed system. The patient was discharged home after 3 days with dramatically reduced symptons. Epidural blood patching with closed system is a safe, and effective procedure that is acceptable to a Jehovah's Witness.

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