Emergent image-guided treatment of a large CSF leak to reverse "in-extremis" signs of intracranial hypotension

A. A. Lasboo, M. C. Hurley, M. T. Walker, D. Surdell, J. K. Song, J. M. Rosenow, Ali Shaibani*

*Corresponding author for this work

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

We report the use of an emergent, targeted fibrin spinal epidural blood patch with subarachnoid saline infusion to rapidly reverse "in- extremis" clinical and imaging signs of posterior-fossa coning brought about by acute-on-chronic intracranial hypotension, itself consequent to a cervicothoracic CSF leak. Treatment resulted in a dramatic recovery and eventual discharge with return to normal lifestyle and occupation. The clinical and imaging danger signs are reviewed; fibrin patch technique and potential pitfalls in postprocedure management are analyzed.

Original languageEnglish (US)
Pages (from-to)1627-1629
Number of pages3
JournalAmerican Journal of Neuroradiology
Volume29
Issue number9
DOIs
StatePublished - Oct 1 2008

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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