E-ISSN 2636-865X
Case report
Spontaneus Intracranial Hypotension: Diagnosis and Treatment of 2 Cases
1 Gazi Üniversitesi, Nöroloji Algoloji B.D, Ankara, Türkiye  
2 Gazi Üniversitesi, Anesteziyoloji ve Algoloji Bilim dalı, Ankara, Türkiye  
3 Gazi Üniversitesi, Radyoloji A.D, Ankara, Türkiye  
Neurol Sci Neurophysiol 2015; 32: 598-604

Key Words: Intracranial hypotension, epidural blood patch, headache
Abstract

Intracranial hypotension is a clinical syndrome of decrease in volume or pressure of cerebrospinal fluid (CSF), presenting with orthostatic headache. It is diagnosed by typical clinical presentation and documentation of decrease in CSF pressure, along with the radiological findings. The first treatment option is conservative; bed rest, fluid replacement, caffeine, theophylline, abdominal bandage. If pain persists, epidural blood patch is considered the gold standard treatment. In this article patients resistant to medical treatment were treated with epidural blood patch for different etiologies; also diagnosis, radiological features and treatment approaches were discussed.

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