Abstract
Background: Spontaneous intracranial hypotension (SIH) is caused by spinal leakage of cerebrospinal fluid (CSF) and it is characterized by an orthostatic headache without a history of trauma or dural puncture. SIH may lead to serious complications such as subdural haematoma (SDH), may lead to neurological deficits and can even be life-threatening. Lumbar epidural blood patching (EBP) has been regarded as the mainstay of therapy for SIH, often providing instantaneous relief of symptoms in 90% of cases regardless of the site of the leak. There is no conclusive evidence regarding the specific time from the onset of symptoms after which the epidural blood patch should not be tried. This report presents a case of SIH that was successful with lumbar EBP after 6 weeks of symptom onset.
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