Journal
ACTA ANAESTHESIOLOGICA SCANDINAVICA
Volume 45, Issue 5, Pages 649-651Publisher
MUNKSGAARD INT PUBL LTD
DOI: 10.1034/j.1399-6576.2001.045005649.x
Keywords
spontaneous low cerebrospinal fluid (CSF) pressure headache; Schaltenbrand's syndrome; CT-guided; epidural blood patch
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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 cervicothoracic 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.
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