Publication: Cervical Foraminal Epidural Blood Patch for the Targeted Treatment of Refractory Cerebrospinal Fluid Leakage from a Dural Sleeve
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Issued Date
2018-02-01
Resource Type
ISSN
15328651
10987339
10987339
Other identifier(s)
2-s2.0-85041455196
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Mahidol University
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SCOPUS
Bibliographic Citation
Regional Anesthesia and Pain Medicine. Vol.43, No.2 (2018), 205-210
Suggested Citation
Nuj Tontisirin, Pannawit Benjhawaleemas, Sasikaan Nimmaanrat, Pornchai Sathirapanya, Teeranan Laohawiriyakamol, De Q. Tran, Roderick J. Finlayson Cervical Foraminal Epidural Blood Patch for the Targeted Treatment of Refractory Cerebrospinal Fluid Leakage from a Dural Sleeve. Regional Anesthesia and Pain Medicine. Vol.43, No.2 (2018), 205-210. doi:10.1097/AAP.0000000000000696 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/46978
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Title
Cervical Foraminal Epidural Blood Patch for the Targeted Treatment of Refractory Cerebrospinal Fluid Leakage from a Dural Sleeve
Abstract
© Copyright 2018 American Society of Regional Anesthesia and Pain Medicine. Epidural blood patches (EBPs) are routinely used to treat symptoms (eg, headaches) associated with spontaneous intracranial hypotension. Although cerebrospinal fluid leakage commonly involves the periforaminal areas of the cervical or thoracic spine, EBPs have been historically performed at the lumbar level. Recent evidence suggests that targeting the causative spinal segment may provide greater clinical benefits. While previous reports have targeted foraminal leaks with segmental thoracic or cervical injections, we present a case report detailing the novel use of a navigable epidural catheter to perform a selective EBP at the C7/T1 foramen.