Spontaneous intracranial hypotension and a comparison of available treatment options. A case report

Keywords:

case report ; spontaneous intracranial hypo-tension ; blind and targeted epidural blood patch ; post-dural puncture headache


Published online: Sep 06 2023

https://doi.org/10.56126/70.4.8

P. Gowreesunker (*), A. Blanjean (**)

(*) Department of Anesthesia, CHU UCL, Namur Site St-Elisabeth, B-5000 Namur
(**) Department of Anesthesia & ICM, CHU Liège, B-4000 Liège

Abstract

We report the case of a patient presenting with postural headache and suffering from spontaneous intracranial hypotension. A general review of the manage- ment options, mainly focusing on imaging techniques and treatment, is discussed in this paper. Another cause of postural headache is post-dural puncture headache. Both pathologies are referred to the anesthesiologist for management, the key treatment being an epidural blood patch. Hence, anesthesiologists need to be aware of the similarities and differences between management options and efficacy of the blood patch in each case. This is why we attempt a comparison between the two in this paper.