Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Other Publications
    • ajnr

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • AJNR Case Collection
    • Case of the Week Archive
    • Classic Case Archive
    • Case of the Month Archive
  • Special Collections
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
    • 2024 AJNR Journal Awards
    • Most Impactful AJNR Articles
  • Multimedia
    • AJNR Podcast
    • AJNR Scantastics
    • Video Articles
  • For Authors
    • Submit a Manuscript
    • Author Policies
    • Fast publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Manuscript Submission Guidelines
    • Imaging Protocol Submission
    • Submit a Case for the Case Collection
  • About Us
    • About AJNR
    • Editorial Board
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

Welcome to the new AJNR, Updated Hall of Fame, and more. Read the full announcements.


AJNR is seeking candidates for the position of Associate Section Editor, AJNR Case Collection. Read the full announcement.

 

Research ArticleSpine
Open Access

CT-Guided Epidural Blood Patching of Directly Observed or Potential Leak Sites for the Targeted Treatment of Spontaneous Intracranial Hypotension

P.G. Kranz, L. Gray and J.N. Taylor
American Journal of Neuroradiology May 2011, 32 (5) 832-838; DOI: https://doi.org/10.3174/ajnr.A2384
P.G. Kranz
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
L. Gray
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.N. Taylor
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Karst M,
    2. Hollenhorst J,
    3. Fink M,
    4. et al
    . Computerized tomography-guided epidural blood patch in the treatment of spontaneous low cerebrospinal fluid pressure headache. Acta Anaesthesiol Scand 2001; 45: 649–51
    CrossRefPubMed
  2. 2.↵
    1. Rai A,
    2. Rosen C,
    3. Carpenter J,
    4. et al
    . Epidural blood patch at C2: diagnosis and treatment of spontaneous intracranial hypotension. AJNR Am J Neuroradiol 2005; 26: 2663–66
    Abstract/FREE Full Text
  3. 3.↵
    1. Gladstone JP,
    2. Nelson K,
    3. Patel N,
    4. et al
    . Spontaneous CSF leak treated with percutaneous CT-guided fibrin glue. Neurology 2005; 64: 1818–19
    FREE Full Text
  4. 4.↵
    1. Kong DS,
    2. Park K,
    3. Nam DH,
    4. et al
    . Clinical features and long-term results of spontaneous intracranial hypotension. Neurosurgery 2005; 57: 91–96; discussion 91–96
    CrossRefPubMedWeb of Science
  5. 5.↵
    1. Schievink WI,
    2. Morreale VM,
    3. Atkinson JL,
    4. et al
    . Surgical treatment of spontaneous spinal cerebrospinal fluid leaks. J Neurosurg 1998; 88: 243–46
    PubMedWeb of Science
  6. 6.↵
    1. Berroir S,
    2. Loisel B,
    3. Ducros A,
    4. et al
    . Early epidural blood patch in spontaneous intracranial hypotension. Neurology 2004; 63: 1950–51
    Abstract/FREE Full Text
  7. 7.↵
    1. Inamasu J,
    2. Guiot BH
    . Intracranial hypotension with spinal pathology. Spine J 2006; 6: 591–99
    CrossRefPubMed
  8. 8.↵
    1. Sencakova D,
    2. Mokri B,
    3. McClelland RL
    . The efficacy of epidural blood patch in spontaneous CSF leaks. Neurology 2001; 57: 1921–23
    Abstract/FREE Full Text
  9. 9.↵
    1. Duffy PJ,
    2. Crosby ET
    . The epidural blood patch: resolving the controversies. Can J Anaesth 1999; 46: 878–86
    PubMedWeb of Science
  10. 10.↵
    1. Horikoshi T,
    2. Watanabe A,
    3. Uchida M,
    4. et al
    . Effectiveness of an epidural blood patch for patients with intracranial hypotension syndrome and persistent spinal epidural fluid collection after treatment. J Neurosurg 2010; 113: 940–6. Epub 2009 Nov 13
    CrossRefPubMedWeb of Science
  11. 11.↵
    1. Franzini A,
    2. Messina G,
    3. Nazzi V,
    4. et al
    . Spontaneous intracranial hypotension syndrome: a novel speculative physiopathological hypothesis and a novel patch method in a series of 28 consecutive patients. J Neurosurg 2010; 112: 300–06
    CrossRefPubMedWeb of Science
  12. 12.↵
    1. Warwick WI,
    2. Neal JM
    . Beyond spinal headache: prophylaxis and treatment of low-pressure headache syndromes. Reg Anesth Pain Med 2007; 32: 455–61
    PubMedWeb of Science
  13. 13.↵
    1. Diaz JH
    . Treatment outcomes in spontaneous intracranial hypotension: do epidural blood patches stop the leaks? Pain Pract 2004; 4: 295–302
    CrossRefPubMed
  14. 14.↵
    1. Nowak DA,
    2. Takano B,
    3. Topka H
    . Spontaneous cerebrospinal fluid hypovolaemia: a therapeutic dilemma? Eur J Neurol 2006; 13: 1128–38
    CrossRefPubMed
  15. 15.↵
    1. Hannerz J,
    2. Dahlgren G,
    3. Irestedt L,
    4. et al
    . Treatment of idiopathic intracranial hypotension: cervicothoracic and lumbar blood patch and peroral steroid treatment. Headache 2006; 46: 508–11
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Bai J,
    2. Yokoyama K,
    3. Kinuya S,
    4. et al
    . Radionuclide cisternography in intracranial hypotension syndrome. Ann Nucl Med 2002; 16: 75–78
    CrossRefPubMedWeb of Science
  17. 17.↵
    1. Schievink WI,
    2. Reimer R,
    3. Folger WN
    . Surgical treatment of spontaneous intracranial hypotension associated with a spinal arachnoid diverticulum: case report. J Neurosurg 1994; 80: 736–39
    CrossRefPubMedWeb of Science
  18. 18.↵
    1. Schievink WI,
    2. Meyer FB,
    3. Atkinson JL,
    4. et al
    . Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. J Neurosurg 1996; 84: 598–605
    CrossRefPubMedWeb of Science
  19. 19.↵
    1. Brierley JB
    . The penetration of particulate matter from the cerebrospinal fluid into the spinal ganglia, peripheral nerves, and perivascular spaces of the central nervous system. J Neurol Neurosurg Psychiatry 1950; 13: 203–15
    FREE Full Text
  20. 20.↵
    1. Irani DN
    Cerebrospinal Fluid in Clinical Practice. Philadelphia: Saunders-Elsevier; 2009
  21. 21.↵
    Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders. 2nd ed. Cephalalgia 2004; 24 (suppl 1): 9–160
    FREE Full Text
  22. 22.↵
    1. Schievink WI
    . Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 2006; 295: 2286–96
    CrossRefPubMedWeb of Science
  23. 23.↵
    1. Schievink WI,
    2. Maya MM,
    3. Louy C,
    4. et al
    . Diagnostic criteria for spontaneous spinal CSF leaks and intracranial hypotension. AJNR Am J Neuroradiol 2008; 29: 853–56
    Abstract/FREE Full Text
  24. 24.↵
    1. Schievink WI
    . Misdiagnosis of spontaneous intracranial hypotension. Arch Neurol 2003; 60: 1713–18
    CrossRefPubMedWeb of Science
  25. 25.↵
    1. Mokri B,
    2. Atkinson JL,
    3. Dodick DW,
    4. et al
    . Absent pachymeningeal gadolinium enhancement on cranial MRI despite symptomatic CSF leak. Neurology 1999; 53: 402–04
    Abstract/FREE Full Text
  26. 26.↵
    1. Mokri B
    . Intracranial hypertension after treatment of spontaneous cerebrospinal fluid leaks. Mayo Clin Proc 2002; 77: 1241–46
    CrossRefPubMed
  27. 27.↵
    1. Medina JH,
    2. Abrams K,
    3. Falcone S,
    4. et al
    . Spinal imaging findings in spontaneous intracranial hypotension. AJR Am J Roentgenol 2010; 195: 459–64
    CrossRefPubMed
  28. 28.↵
    1. Yousry I,
    2. Forderreuther S,
    3. Moriggl B,
    4. et al
    . Cervical MR imaging in postural headache: MR signs and pathophysiological implications. AJNR Am J Neuroradiol 2001; 22: 1239–50
    Abstract/FREE Full Text
  29. 29.↵
    1. Raymackers JM,
    2. Duprez T,
    3. Jeanjean A,
    4. et al
    . Discrepant time course of cranial and spinal subdural collections in a case of SIH treated by EBP. Eur Radiol 2001; 11: 2310–13
    CrossRefPubMed
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 32 (5)
American Journal of Neuroradiology
Vol. 32, Issue 5
1 May 2011
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
CT-Guided Epidural Blood Patching of Directly Observed or Potential Leak Sites for the Targeted Treatment of Spontaneous Intracranial Hypotension
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
P.G. Kranz, L. Gray, J.N. Taylor
CT-Guided Epidural Blood Patching of Directly Observed or Potential Leak Sites for the Targeted Treatment of Spontaneous Intracranial Hypotension
American Journal of Neuroradiology May 2011, 32 (5) 832-838; DOI: 10.3174/ajnr.A2384

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
CT-Guided Epidural Blood Patching of Directly Observed or Potential Leak Sites for the Targeted Treatment of Spontaneous Intracranial Hypotension
P.G. Kranz, L. Gray, J.N. Taylor
American Journal of Neuroradiology May 2011, 32 (5) 832-838; DOI: 10.3174/ajnr.A2384
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • Abbreviations
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • A classification system of spontaneous spinal CSF leaks
  • Imaging Signs in Spontaneous Intracranial Hypotension: Prevalence and Relationship to CSF Pressure
  • MR Myelography for Identification of Spinal CSF Leak in Spontaneous Intracranial Hypotension
  • Large-Volume Blood Patch to Multiple Sites in the Epidural Space through a Single-Catheter Access Site for Treatment of Spontaneous Intracranial Hypotension
  • Spinal Meningeal Diverticula in Spontaneous Intracranial Hypotension: Analysis of Prevalence and Myelographic Appearance
  • CT Myelography for the Planning and Guidance of Targeted Epidural Blood Patches in Patients with Persistent Spinal CSF Leakage
  • Crossref (53)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • A classification system of spontaneous spinal CSF leaks
    Wouter I. Schievink, M. Marcel Maya, Stacey Jean-Pierre, Miriam Nuño, Ravi S. Prasad, Franklin G. Moser
    Neurology 2016 87 7
  • CSF Venous Fistulas in Spontaneous Intracranial Hypotension: Imaging Characteristics on Dynamic and CT Myelography
    Peter G. Kranz, Timothy J. Amrhein, Linda Gray
    American Journal of Roentgenology 2017 209 6
  • Myelographic Techniques for the Detection of Spinal CSF Leaks in Spontaneous Intracranial Hypotension
    Peter G. Kranz, Patrick H. Luetmer, Felix E. Diehn, Timothy J. Amrhein, Teerath Peter Tanpitukpongse, Linda Gray
    American Journal of Roentgenology 2016 206 1
  • Spontaneous Intracranial Hypotension: 10 Myths and Misperceptions
    Peter G. Kranz, Linda Gray, Timothy J. Amrhein
    Headache: The Journal of Head and Face Pain 2018 58 7
  • Imaging Signs in Spontaneous Intracranial Hypotension: Prevalence and Relationship to CSF Pressure
    P. G. Kranz, T. P. Tanpitukpongse, K. R. Choudhury, T. J. Amrhein, L. Gray
    American Journal of Neuroradiology 2016 37 7
  • Spontaneous Intracranial Hypotension
    Peter G. Kranz, Linda Gray, Michael D. Malinzak, Timothy J. Amrhein
    Neuroimaging Clinics of North America 2019 29 4
  • The status of diagnosis and treatment to intracranial hypotension, including SIH
    Jin-ping Lin, Shu-dong Zhang, Fei-fang He, Min-jun Liu, Xiao-xu Ma
    The Journal of Headache and Pain 2017 18 1
  • MR Myelography for Identification of Spinal CSF Leak in Spontaneous Intracranial Hypotension
    J.L. Chazen, J.F. Talbott, J.E. Lantos, W.P. Dillon
    American Journal of Neuroradiology 2014 35 10
  • Spinal Meningeal Diverticula in Spontaneous Intracranial Hypotension: Analysis of Prevalence and Myelographic Appearance
    P.G. Kranz, S.S. Stinnett, K.T. Huang, L. Gray
    American Journal of Neuroradiology 2013 34 6
  • Intracranial hypotension
    Horst Urbach
    Current Opinion in Neurology 2014 27 4

More in this TOC Section

  • Bern Score Validity for SIH
  • MP2RAGE 7T in MS Lesions of the Cervical Spine
  • Deep Learning for STIR Spine MRI Quality
Show more Spine

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editors Choice
  • Fellow Journal Club
  • Letters to the Editor

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

Special Collections

  • Special Collections

Resources

  • News and Updates
  • Turn around Times
  • Submit a Manuscript
  • Author Policies
  • Manuscript Submission Guidelines
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Submit a Case
  • Become a Reviewer/Academy of Reviewers
  • Get Peer Review Credit from Publons

Multimedia

  • AJNR Podcast
  • AJNR SCANtastic
  • Video Articles

About Us

  • About AJNR
  • Editorial Board
  • Not an AJNR Subscriber? Join Now
  • Alerts
  • Feedback
  • Advertise with us
  • Librarian Resources
  • Permissions
  • Terms and Conditions

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire