• AJNR Am J Neuroradiol · Nov 2005

    Case Reports

    Epidural blood patch at C2: diagnosis and treatment of spontaneous intracranial hypotension.

    • Ansaar Rai, Charles Rosen, Jeffrey Carpenter, and Vincent Miele.
    • Department of Radiology, West Virginia University, Morgantown, WV 26506-9235.
    • AJNR Am J Neuroradiol. 2005 Nov 1;26(10):2663-6.

    AbstractSpontaneous intracranial hypotension in a 37-year-old man with intractable headaches was diagnosed on MR imaging. A generous CSF leak was identified at C2 on CT myelography. Successful treatment was performed with CT-guided blood patch at the leakage site after the patient had failed 2 lumbar blood patches. Imaging-guided precise placement of the blood patch is safe and recommended when a lumbar blood patch away from the leakage site could be ineffective.

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