Total Spinal Epidural "Blood Patch" Application Through a Racz Catheter in Spontaneous Intracranial Hypotension.

Blood Patch, Epidural / instrumentation Catheters Humans Intracranial Hypotension / diagnostic imaging Male Middle Aged
Epidural blood patch Racz catheter Spontaneous intracranial hypotension

Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 23 11 2019
accepted: 29 11 2019
pubmed: 10 12 2019
medline: 26 3 2020
entrez: 10 12 2019
Statut: ppublish

Résumé

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. 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. The Racz catheter can be a convenient means to deliver large-volume EBPs from a single entry point in the treatment of SIH.

Sections du résumé

BACKGROUND 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 METHODS
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 CONCLUSIONS
The Racz catheter can be a convenient means to deliver large-volume EBPs from a single entry point in the treatment of SIH.

Identifiants

DOI: 10.1016/j.wneu.2019.11.169 PMID: 31816456
pubmed: 31816456
pii: S1878-8750(19)33019-0
doi: 10.1016/j.wneu.2019.11.169
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

131-134

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Keisuke Hatano (K)

Department of Neurosurgery, Jikei University School of Medicine, Nishi-Shinbashi, Minato-Ku, Tokyo, Japan. Electronic address: hatakenosuke@gmail.com.

Daichi Kawamura (D)

Department of Neurosurgery, Jikei University School of Medicine, Nishi-Shinbashi, Minato-Ku, Tokyo, Japan.

Hiroki Ohashi (H)

Department of Neurosurgery, Jikei University School of Medicine, Nishi-Shinbashi, Minato-Ku, Tokyo, Japan.

Takayuki Hamaguchi (T)

Department of Anesthesiology, Jikei University School of Medicine, Nishi-Shinbashi, Minato-Ku, Tokyo, Japan.

Yoshiyasu Hattanmaru (Y)

Department of Anesthesiology, Jikei University School of Medicine, Nishi-Shinbashi, Minato-Ku, Tokyo, Japan.

Satoshi Tani (S)

Department of Neurosurgery, Jikei University School of Medicine, Nishi-Shinbashi, Minato-Ku, Tokyo, Japan.

Yuichi Murayama (Y)

Department of Neurosurgery, Jikei University School of Medicine, Nishi-Shinbashi, Minato-Ku, Tokyo, Japan.

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Classifications MeSH

questionsmedicales.fr › Thérapeutique › Traitement médicamenteux › Voies d'administration de substances chimiques et des médicaments › Injections › Injections rachidiennes › Injections épidurales › Colmatage sanguin épidural › Total Spinal Epidural "Blood Patch"...
questionsmedicales.fr › Équipement et fournitures › Cathéters › Total Spinal Epidural "Blood Patch"...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Total Spinal Epidural "Blood Patch"...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Hypotension intracrânienne › Total Spinal Epidural "Blood Patch"...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Total Spinal Epidural "Blood Patch"...