Total Spinal Epidural "Blood Patch" Application Through a Racz Catheter in Spontaneous Intracranial Hypotension.
World Neurosurg 2019;
135:131-134. [PMID:
31816456 DOI:
10.1016/j.wneu.2019.11.169]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Accepted: 11/29/2019] [Indexed: 11/22/2022]
Abstract
BACKGROUND
Epidural "blood patch" (EBP) is a standard treatment of spontaneous intracranial hypotension (SIH). In recent years, there are some reports of Racz catheter use for EBP performance at upper cervical spine levels. However, the practical use of Racz catheter for single-entry multisite EBP has never been reported until now.
CASE DESCRIPTION
We treated a 60-year-old man diagnosed with SIH presenting with cerebrospinal fluid leaks from the cervical to the sacral segments. We discuss the advantages of the single-entry multisite EBP and the convenience of Racz catheter use in such cases.
CONCLUSIONS
The Racz catheter can be a convenient means to deliver large-volume EBPs from a single entry point in the treatment of SIH.
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