• Asian J Neurosurg · Jul 2015

    Case Reports

    Spontaneous intracranial hypotension and single entry multi-site epidural blood patch.

    • David Murphy, Arjun Chandna, Andrew Laing, and Martin MacFarlane.
    • Department of Neurosurgery, Christchurch Public Hospital, Christchurch, New Zealand.
    • Asian J Neurosurg. 2015 Jul 1; 10 (3): 262-4.

    AbstractThe syndrome of spontaneous intracranial hypotension is often difficult to treat. Unfortunately, cerebrospinal fluid leaks are often numerous and difficult to detect radiologically. Multiple entries to the spinal epidural space, in an effort to alleviate symptoms, are therefore sometimes necessary. This case report details two patients treated successfully with a single lumbar entry point and the administration of a continuous multi-site epidural blood patch via a mobile catheter and their subsequent follow-up. These procedures are based on that first published by Ohtonari et al. in 2012. It is, to our knowledge, the first undertaken in Australasia.

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