Epidural blood patch treatment in a patient with chronic headache related to spontaneous intracranial hypotension [Spontan intrakraniyal hipotansiyona bagli kronik baş agrisi olan hastada epidural kan yamasi tedavisi]

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dc.contributor.authorGökçay F.
dc.contributor.authorEyigör C.
dc.contributor.authorBayram E.
dc.contributor.authorDönmez I.
dc.contributor.authorUyar M.
dc.date.accessioned2019-10-26T22:30:54Z
dc.date.available2019-10-26T22:30:54Z
dc.date.issued2010
dc.departmentEge Üniversitesien_US
dc.description.abstractIntracranial hypotension is usually seen in middle-aged adults and appears with orthostatic headache. It is characterized by low cerebrospinal fluid (CSF) pressure and pachymeningeal-dural thickening on magnetic resonance imaging (MRI). Lumbar puncture, dural rupture with CSF leakage secondary to spinal anesthesia or spinal traumas, and under-production or over-absorption of CSF due to some metabolic events such as dehydration, uremia and diabetic coma are the main etiologic factors. It is sometimes considered as idiopathic when no etiologic factor is present. In addition, some connective tissue disorders have risk of CSF leakage due to spontaneous dural rupture. Neck pain, tinnitus, nausea and vomiting, and diplopia may accompany headache. CSF leakage can be identified by computerized tomography (CT) myelography, CSF-flow MRI, and radionuclide cisternography. Bed rest, fluid resuscitation, caffeine, theophylline, and non-steroidal antiinflammatory drugs (NSAIDs) are important treatment options. In patients resistant to therapy, interventional measures such as epidural saline or blood patch can be applied. In this case report, we evaluated the results of pain treatment options in a patient having headache due to intracranial hypotension who was hospitalized in the Neurology Department of Ege University Hospital.en_US
dc.identifier.endpage174en_US
dc.identifier.issn1300-0012
dc.identifier.issue4en_US
dc.identifier.pmid21153936en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage170en_US
dc.identifier.urihttps://hdl.handle.net/11454/19708
dc.identifier.volume22en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofAgrien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural blood patchen_US
dc.subjectPostural headacheen_US
dc.subjectSpontaneous intracranial hypotensionen_US
dc.titleEpidural blood patch treatment in a patient with chronic headache related to spontaneous intracranial hypotension [Spontan intrakraniyal hipotansiyona bagli kronik baş agrisi olan hastada epidural kan yamasi tedavisi]en_US
dc.typeArticleen_US

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