Headache Due to Spontaneous Intracranial Hypotension Treated with Cervical Epidural Blood Patch

Abstract

Spontaneous intracranial hypotension (SIH) is caused by spinal leakage of cerebrospinal fluid and it is characterized by an orthostatic headache without a history of trauma or dural puncture. Epidural blood patches have been regarded as the mainstay of therapy for SIH, often providing instantaneous relief of symptoms in 90% of cases regardless of the site of the leak. We present a rare case report of an epidural leak treated with a cervical epidural blood patch.

Keywords

• epidural blood patch
• orthostatic headache
• spontaneous intracranial hypotension