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CASE REPORT
Year : 2022  |  Volume : 16  |  Issue : 3  |  Page : 416-418

A single-level epidural blood patch for multiple cerebrospinal fluid leaks: How it works


1 Department of Anaesthesiology, Tata Main Hospital, Jamshedpur, Jharkhand, India
2 Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Amlan Swain
Department of Anaesthesia and Critical Care, Tata Main Hospital, Northern Town, Bistupur, Jamshedpur - 830 001, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aer.aer_131_22

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Spontaneous intracranial hypotension caused by cerebrospinal fluid (CSF) leak is a rarely encountered cause of persistent postural headaches in the absence of trauma or dural puncture. It presents with postural headache and is characterized by radiological findings of spinal CSF leak. The mainstay of management is an epidural patch with the patient's own blood (epidural blood patch [EBP]) and/or a fibrin glue product. We report here a case of spontaneous intracranial hemorrhage presenting with persistent headaches and bilateral subdural hematomas secondary to CSF leaks at multiple levels along the spinal cord, which was successfully managed with a single lumbar EBP.


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