Clinical neurology and neurosurgery · 2026
Technique of performing an epidural blood patch in spontaneous intracranial hypotension due to cerebrospinal fluid leakage from the nerve root sheath: Case series.
СтатьяНазвание и аннотация: Перевод в очереди
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Ząbek Mateusz, Turek Grzegorz, Ząbek Mirosław
Аннотация
INTRODUCTION: Spontaneous intracranial hypotension (SIH) is frequently caused by cerebrospinal fluid leak throughout dural tear in spinal nerve sheath which effects in disruption of intracranial homeostasis. We present a method of sealing that defect with epidural blood patch which is administrated via intervertebral foramen using computer tomography (CT) guidance to maximize the procedure accuracy.
METHODS: The method involves sealing CSF fistulae in spinal nerve sheaths using route via intervertebral foramen under constant CT guidance with patient's own venous blood.
RESULTS: Technique has been used in the group of 9 patients. Clinical symptoms for spontaneous intracranial hypotension ended up in all patients. Also, follow-up MRI scans performed at 1 months after procedure showed a normalization of radiological image.
CONCLUSION: Our study shows safe and effective way of sealing dural defects in spinal nerve sheath which was the cause of SIH.
METHODS: The method involves sealing CSF fistulae in spinal nerve sheaths using route via intervertebral foramen under constant CT guidance with patient's own venous blood.
RESULTS: Technique has been used in the group of 9 patients. Clinical symptoms for spontaneous intracranial hypotension ended up in all patients. Also, follow-up MRI scans performed at 1 months after procedure showed a normalization of radiological image.
CONCLUSION: Our study shows safe and effective way of sealing dural defects in spinal nerve sheath which was the cause of SIH.