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Spontaneous Intracranial Hypotension Treated with a Targeted CT-Guided Epidural Blood Patch

dc.contributor.authorCorreia, I
dc.contributor.authorMarques, I
dc.contributor.authorFerreira, R
dc.contributor.authorCordeiro, M
dc.contributor.authorSousa, L
dc.date.accessioned2017-08-23T11:52:16Z
dc.date.available2017-08-23T11:52:16Z
dc.date.issued2016
dc.description.abstractSpontaneous intracranial hypotension (SIH) is an important cause of new daily persistent headache. It is thought to be due to spontaneous spinal cerebrospinal fluid (CSF) leaks, which probably have a multifactorial etiology. The classic manifestation of SIH is an orthostatic headache, but other neurological symptoms may be present. An epidural blood patch is thought to be the most effective treatment, but a blind infusion may be ineffective. We describe the case of a young man who developed an acute severe headache, with pain worsening when assuming an upright posture and relief gained with recumbency. No history of previous headache, recent cranial or cervical trauma, or invasive procedures was reported. Magnetic resonance imaging showed pachymeningeal enhancement and other features consistent with SIH and pointed towards a cervical CSF leak site. After failure of conservative treatment, a targeted computer tomography-guided EBP was performed, with complete recovery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCase Rep Med. 2016;2016:9809017pt_PT
dc.identifier.doi10.1155/2016/9809017pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/2062
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectTomografia Computorizadapt_PT
dc.subjectPlaca de Sangue Epiduralpt_PT
dc.subjectMielografiapt_PT
dc.subjectHipotensão Intracranianapt_PT
dc.titleSpontaneous Intracranial Hypotension Treated with a Targeted CT-Guided Epidural Blood Patchpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage5pt_PT
oaire.citation.startPage9809017pt_PT
oaire.citation.volume2016pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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