Affiliations: [a] Department of Neurology, Chinese PLA General Hospital First Medical Center, Beijing, China | [b] Department of Anesthesiology, Chinese PLA General Hospital First Medical Center, Beijing, China
Correspondence:
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Corresponding authors: Chen Lan, Department of Anesthesiology, Chinese PLA General Hospital, First Medical Center, Fuxing Road 28, Haidian District, Beijing 100853, China. Tel.: +86 10 55499334; E-mail: lansn301@163.com. Xiaoyan Chen, Department of Neurology, Chinese PLA General Hospital, First Medical Center, Fuxing Road 28, Haidian District, Beijing 100853, China. Tel.: +86 10 55499334; E-mail: abilitywin@163.com.
Abstract: BACKGROUND: Epidural blood patch (EBP) is a minimally invasive and effective treatment for spontaneous intracranial hypotension (SIH). But, cervical epidural blood patch for SIH has little attention. OBJECTIVE: In this study, The clinical data was recorded and the treatment efficacy and safety of cervical EBP in SIH were evaluated. METHODS: Fifty-nine cases of intractable SIH were examined by computed tomography (CT) guided cervical EBP at the Chinese PLA General Hospital from August 2014 to March 2024. RESULTS: The mean age of the fifty-nine patients at symptom onset was 40.8 ± 9.5 years. 54/59 (91.5%) patients experienced orthostatic headache. Preoperative spine T2 sacns with extensive fluid collection at the upper cervical region in 43/46 (93.5%). 45/59 (76.3%) patients had symptomatic relief with initial cervical EBP, and 14/59 (23.7%) patients received further cervical EBPs. In the first one to three days following the EBP procedure, 11 (18.6%) patients reported pain at the puncture site and 15 (25.4%) experienced neck pain. No other complications were observed during or after the procedure. At the latest follow-up, all patients showed good recovery. The mean follow-up was 28.9 ± 22.7 months. CONCLUSION: CT-guided cervical EBP is a effective and safe treatment for patients with intractable SIH, especially in patients who had extensive fluid collection at the upper cervical region.
