: We report a patient suffering from spontaneous intracranial hypotension (SIH) who, following a non-selective lumbar blood patch, returned to his healthcare provider with severe symptoms of neurological deficits. It was subsequently discovered that the aforementioned deficits were due to a bilateral subdural hematoma, and an emergency surgical drainage of the hematoma has been performed. However, the hematoma reformed and potential cerebrospinal fluid leakage was consequently investigated through myelography. Following the diagnostic finding of a venous diverticulum, a selective blood patch was executed in the affected area, and in order to stabilize the hematoma, an embolization of the middle meningeal arteries was performed. The combination of such operations allowed for the resorption of the hematoma and the improvement of neurological symptoms.

Spontaneous Intracranial Hypotension and Subdural Hematomas Treatment Management Using MMA Embolization and Target Blood Patch: A Case Report / Cirillo, Luigi; Verna, Francesca; Princiotta, Ciro; Dall’Olio, Massimo; Rustici, Arianna; Bortolotti, Carlo; Badaloni, Filippo; Mascarella, Davide; Cortelli, Pietro; Cevoli, Sabina. - In: LIFE. - ISSN 2075-1729. - ELETTRONICO. - 14:2(2024), pp. 250.1-250.8. [10.3390/life14020250]

Spontaneous Intracranial Hypotension and Subdural Hematomas Treatment Management Using MMA Embolization and Target Blood Patch: A Case Report

Cirillo, Luigi;Rustici, Arianna;Mascarella, Davide;Cortelli, Pietro;Cevoli, Sabina
2024

Abstract

: We report a patient suffering from spontaneous intracranial hypotension (SIH) who, following a non-selective lumbar blood patch, returned to his healthcare provider with severe symptoms of neurological deficits. It was subsequently discovered that the aforementioned deficits were due to a bilateral subdural hematoma, and an emergency surgical drainage of the hematoma has been performed. However, the hematoma reformed and potential cerebrospinal fluid leakage was consequently investigated through myelography. Following the diagnostic finding of a venous diverticulum, a selective blood patch was executed in the affected area, and in order to stabilize the hematoma, an embolization of the middle meningeal arteries was performed. The combination of such operations allowed for the resorption of the hematoma and the improvement of neurological symptoms.
2024
Spontaneous Intracranial Hypotension and Subdural Hematomas Treatment Management Using MMA Embolization and Target Blood Patch: A Case Report / Cirillo, Luigi; Verna, Francesca; Princiotta, Ciro; Dall’Olio, Massimo; Rustici, Arianna; Bortolotti, Carlo; Badaloni, Filippo; Mascarella, Davide; Cortelli, Pietro; Cevoli, Sabina. - In: LIFE. - ISSN 2075-1729. - ELETTRONICO. - 14:2(2024), pp. 250.1-250.8. [10.3390/life14020250]
Cirillo, Luigi; Verna, Francesca; Princiotta, Ciro; Dall’Olio, Massimo; Rustici, Arianna; Bortolotti, Carlo; Badaloni, Filippo; Mascarella, Davide; Cortelli, Pietro; Cevoli, Sabina
File in questo prodotto:
File Dimensione Formato  
life-14-00250-v2.pdf

accesso aperto

Tipo: Versione (PDF) editoriale
Licenza: Licenza per Accesso Aperto. Creative Commons Attribuzione (CCBY)
Dimensione 1.86 MB
Formato Adobe PDF
1.86 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/962380
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus ND
  • ???jsp.display-item.citation.isi??? 0
social impact