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Epidural Blood Patch for Spontaneous Intracranial Hypotension Performed in Neurology Practice

以硬膜外自體血液補片治療自發性顱內低壓,神經科醫師的經驗

摘要


硬膜外自體血液補片是自發性顱內低壓的一個重要的治療選項,但是目前許多中型醫院仍無法提供傳統的硬膜外血液補片。我們在這裡報告一個由神經科醫師執行的替代性方法,詳細步驟在內文中陳述並加以討論。這個方法藉由在進針過程裡反覆偵測組織內壓力以定位針尖深度與位置,搭配使用一般常見的脊髓穿刺針與一毫升針筒,最終成功完成了六位顱內低壓患者的治療。

並列摘要


An epidural blood patch is a primary treatment for spontaneous intracranial hypotension. The traditional epidural blood patch is not readily available in some institutions, including referral centers. Here, we report an alternative method for performing epidural blood patch that is based on the experience in neurology practice. In this method, the epidural space is located by checking the tissue resistance in a stepwise manner using a spinal needle and tuberculin syringe. The procedures are described here in detail. Six consecutive cases of spontaneous intracranial hypotension were successfully treated with this alternative method for performing an epidural blood patch.

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