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증례보고 : 자발성 두개내 저압 환자에서 전산화 단층촬영 유도하에 시행된 경추 경막외 혈액봉합술에 의한 치료
민진혜 ( Jin Hye Min ),최영순 ( Young Soon Choi ),김용호 ( Yong Ho Kim ),이우경 ( Woo Kyung Lee ),이용경 ( Yong Kyung Lee ),채홍석 ( Hong Seok Chai ),채영근 ( Young Keun Chae ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.1
Spontaneous intracranial hypotension due to spinal cerebrospinal fluid leakage is uncommon, relatively benign and usually self-limiting. However it is being increasingly recognized as a cause of postural headaches. The treatment options range from conservative supportive measures to an pidural blood patch. We report a 40-year-old woman who developed intracranial hypotention without any preceding events such as lumbar puncture, back trauma, surgical procedures or medical illnesses. The site of the cerebrospinal fluid leakage was identified at between the C1 to C2 level using computerized tomographic myelography. Consequently, the patient underwent a CT-guided autologous epidural blood patch at the C3-C4 level. Her symptoms were relieved immediately without recurrence. (Korean J Anesthesiol 2007; 52: 115~8)