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자발성 두개내 저압과 경막외 혈액 봉합술

Other Titles
 Spontaneous Intracranial Hypotension and Epidural Blood Patch 
 이정인  ;  노장호  ;  윤덕미  ;  이윤우 
 Korean Journal of Anesthesiology (대한마취과학회지), Vol.48(2) : 216-219, 2005 
Journal Title
 Korean Journal of Anesthesiology (대한마취과학회지) 
Issue Date
Spontaneous intracranial hypotension (SIH), a syndrome of low CSF pressure, occurs without preceeding events such as lumbar puncture, back trauma, an operative procedure, or medical illness. Postural headache, the most characteristic symptom, usually resolves spontaneously or with bed rest, hydration, and medication. Autologous epidural blood patch is an effective management of headache in SIH patients, and here we describe a one case successfully treated 5 times with an epidural blood patch. The patient had a cardinal feature of a postural headache, low CSF pressure, and showed CSF leakages on RI cisternography. The first three epidural blood patches improved the patient's headache markedly, but the headache recurred in one month. On her second RI cisternography, we found other CSF leakage sites. After a fifth epidural blood patch the patient became asymptomatic and remained so throughout 4 months of follow up. Epidural blood patches are considered the treatment of choice in SIH patients.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
윤덕미(Yoon, Duck Mi)
이윤우(Lee, Youn Woo)
이정인(Lee, Jung In)
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