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VOLUME 4 , ISSUE 3 ( September-December, 2018 ) > List of Articles

CASE REPORT

Intractable Headache due to Spontaneous Dural Leak Treated with Fluoroscopic-guided Epidural Blood Patch: Two Case Reports

Shantanu P Mallick

Keywords : Cervical epidural, Dural leak, Epidural blood patch, Spontaneous headache, Transforaminal epidural

Citation Information : Mallick SP. Intractable Headache due to Spontaneous Dural Leak Treated with Fluoroscopic-guided Epidural Blood Patch: Two Case Reports. J Recent Adv Pain 2018; 4 (3):105-109.

DOI: 10.5005/jp-journals-10046-0119

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Spontaneous cerebrospinal fluid (CSF) leakage is recognized as a cause of headache due to decreased intracranial pressure. Spontaneous intractable headache was developed in a 43-yearold man and in a 26-year-old female which was diagnosed on computed tomography (CT). Myelography imaging with a generous CSF leak was identified at C6 in a male patient and right side L4-5 level and left side D12-L1 level in the female patient. Successful treatment was performed by fluoroscopyguided epidural blood patch at the leakage site. Image-guided precise placement of the blood patch is safe and recommended which gives dramatic relief of symptoms.

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