- 경추부 경막외혈액봉합술로 치료한 상부경추부 뇌척수액 유출로 인한 자발두개내압 저하
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Kyeong-Jin Kim, Meyung-Kug Kim, Bong-Goo Yoo
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Published online December 31, 2012
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Abstract
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- Spontaneous intracranial hypotension rarely occurs at upper cervical level. A 55-year-old man was admitted to hospital for orthostatic headache, neck pain, nausea and vomiting for 2 weeks. Brain MRI showed a subdural hematoma in the bilateral fronto-temporo-parietal region and diffuse dural enhancement. Radioisotope cisternography revealed CSF leakage at upper cervical and thoracic vertebral level. The patient was successfully treated with C-arm-guided epidural blood patch at the C3-4 level after the patient had failed first epidural blood patch at thoracic level.
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