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NEUROLOGY 2004;63:1950-1951
© 2004 American Academy of Neurology
Brief Communications

Early epidural blood patch in spontaneous intracranial hypotension

S. Berroir, MD, B. Loisel, MD, A. Ducros, MD, M. Boukobza, MD, C. Tzourio, MD, D. Valade, MD and M-G. Bousser, MD

From the Service de Neurologie (Drs. Berroir, Tzourio, and Bousser), Département d’anesthésie reanimation (Dr. Loisel), Centre d’urgence céphalées (Drs. Ducros and Valade), and Service de neuroradiologie (Dr. Boukobza), Lariboisière Hospital, Paris, France.

Address correspondence and reprint requests to Dr. Marie-Germaine Bousser, Service de Neurologie, Hôpital Lariboisière, 2 rue Ambroise Paré, 75475 Paris cedex 10, France; e-mail: mg.bousser{at}lrb.ap-hop-paris.fr

Thirty patients with a typical orthostatic headache were treated by early lumbar epidural blood patch (EBP) without previously performing lumbar puncture or identifying a CSF leak and with or without typical MRI changes. A complete cure was obtained in 77% of patients after one (57%) or two (20%) EBPs. Spontaneous intracranial hypotension with typical orthostatic headache can be diagnosed without lumbar puncture and can be cured by early EBP in a majority of patients.

Received April 20, 2004. Accepted in final form July 2, 2004.


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