Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 7, 2022; 10(1): 388-396
Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.388
Epidural blood patch for spontaneous intracranial hypotension with subdural hematoma: A case report and review of literature
Se Hee Choi, Youn Young Lee, Won-Joong Kim
Se Hee Choi, Anesthesiology and Pain Medicine, Ewha Womans University Mokdong Hospital, Seoul 07985, South Korea
Youn Young Lee, Won-Joong Kim, Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul 07985, South Korea
Author contributions: Kim WJ designed the research study and performed the research; Choi SH and Kim WJ contributed analytic tools; Choi SH, Lee YY, and Kim WJ analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript; Choi SH and Lee YY contributed equally to this study.
Supported by National Research Foundation of Korea (NRF), the Korean government (MSIT), No. NRF-2019R1G1A1100523.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Won-Joong Kim, MD, PhD, Associate Professor, Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, No. 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, South Korea. ickypoo@naver.com
Received: September 7, 2021
Peer-review started: September 7, 2021
First decision: September 29, 2021
Revised: October 23, 2021
Accepted: November 22, 2021
Article in press: November 22, 2021
Published online: January 7, 2022
Core Tip

Core Tip: Cerebrospinal fluid (CSF) leakage at C1/2 in spontaneous intracranial hypotension (SIH) is rare. Subdural hematoma (SDH), a serious complication of SIH, may lead to neurological deficits. After a repeated targeted cervical epidural blood patch using an epidural catheter under fluoroscopic guidance, the patient’s symptoms had almost disappeared, and a magnetic resonance myelography revealed a decrease in the interval size of the CSF collected. This case highlights the efficacy of the delivery of autologous blood via an epidural catheter inserted into the lower cervical spine as a treatment for SDH in patients with SIH due to CSF leakage at C1/2.