Computerized tomography-guided epidural blood patch in the treatment of spontaneous low cerebrospinal fluid pressure headache

Acta Anaesthesiol Scand. 2001 May;45(5):649-51. doi: 10.1034/j.1399-6576.2001.045005649.x.


A 54-year-old woman suffering from migraine for 35 years was referred to the pain clinic with a changed pattern of headache that had developed over the last 6 weeks. The pain was located in the central forehead region; aggravation in the prone and immediate relief in the supine position led to the hypothesis of a spontaneous low cerebrospinal fluid (CSF) pressure headache. Cisternography revealed a cyst-like formation in the cervico-thoracic region, indicating cerebrospinal fluid leakage. Magnetic resonance imaging (MRI) myelography confirmed ventral leakage but failed to locate the exact site. Computerized tomography (CT)-guided epidural blood patching between T1 and T2 completely relieved the headache.

Publication types

  • Case Reports

MeSH terms

  • Blood Patch, Epidural / methods*
  • Cerebrospinal Fluid Pressure / physiology*
  • Female
  • Humans
  • Middle Aged
  • Migraine Disorders / etiology*
  • Migraine Disorders / therapy*
  • Tomography, X-Ray Computed