Spontaneous intracranial hypotension treatment [Neurosurgery Wiki]

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====== Spontaneous intracranial hypotension treatment ======

[[Epidural blood patch]] (EBP) is the treatment of choice. Surgery and epidural [[fibrin glue]] injection are options for those who fail conservative therapy and/or EBP.

Most patients respond well to epidural blood patching or direct repair of the underlying spinal [[cerebrospinal fluid leak]]. However, options are limited for those patients who have exhausted these traditional treatments, especially when spinal imaging is normal. 

A wearable [[epidural catheter]] infusion system showed promising efficacy results but the high rate of complications limits its use to a very select group of patients
((Schievink WI, Rosner HL, Louy C. A Wearable Epidural Catheter Infusion System 
for Patients With Intractable Spontaneous Intracranial Hypotension. Reg Anesth
Pain Med. 2014 Dec 3. [Epub ahead of print] PubMed PMID: 25474623.)).