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Blood patch through an epidural catheter in the treatment of spontaneous intracranial hypotension: a review

Dimitar Monov, Nikolay Lilyanov, Dimitar Nikolakov


Spontaneous intracranial hypotension (SIH) is a condition that can be effectively treated with an epidural "blood patch" after the failure of conservative therapy. Nevertheless, cerebrospinal fluid (CSF) leaks originating from the cervical or thoracic spine and from other sites of the spinal cord remain a therapeutic challenge. This study aimed to present our experience in the treatment of thoracic lesions with CSF leakage using epidural catheters and the application of 20–25 ml of fresh blood from the patient.


blood patch, cerebrospinal fluid (CSF), epidural catheter, spontaneous intracranial hypotension (SIH)

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