Lack of increase in intracranial pressure after epidural blood patch in spinal cerebrospinal fluid leak

Fichtner, Jens; Fung, Christian; Z'Graggen, Werner; Raabe, Andreas; Beck, Jürgen (2012). Lack of increase in intracranial pressure after epidural blood patch in spinal cerebrospinal fluid leak. Neurocritical care, 16(3), pp. 444-9. New York, N.Y.: Springer 10.1007/s12028-012-9702-4

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Epidural blood patch (EBP) is one therapeutic measure for patients suffering from spontaneous intracranial hypotension (SIH) or post-lumbar puncture headaches. It has been proposed that an EBP may directly seal a spinal cerebrospinal fluid (CSF) fistula or result in an increase in intracranial pressure (ICP) by a shift of CSF from the spinal to the intracranial compartment. To the best of our knowledge this is the first case of a patient with SIH and neurological deterioration in whom ICP was measured before, during, and after spinal EBP.

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