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자발성 두개내 저압 환자와 경막천자 후 두통 환자군에서의 경막외 혈액 봉합술의 효과의 비교 및 고찰
Comparison of the Efficacy of Epidural Autologous Blood Patch in the Treatment of Spontaneous Intracranial Hypotension and Post-Dural Puncture Headache

대한영상의학회지 2014년 70권 4호 p.299 ~ p.305

윤성현(Yoon Sung-Hyun) - Seoul National University Bundang Hospital Department of Radiology
이준우(Lee Joon-Woo) - Seoul National University Bundang Hospital Department of Radiology
이근영(Lee Geun-Young) - Seoul National University Bundang Hospital Department of Radiology
이유진(Lee Eu-Gene) - Seoul National University Bundang Hospital Department of Radiology
강흥식(Kang Heung-Sik) - Seoul National University Bundang Hospital Department of Radiology

Abstract

Purpose: To evaluate and compare the effectiveness of fluoroscopy-guided epidural blood patch (EBP) in patients with post-dural puncture headache (PDPH) and spontaneous intracranial hypotension (SIH).

Materials and Methods: Between August 2012 and September 2013, 16 patients (12 with PDPH, 4 with SIH; 5 males, 11 females; age range 19-58 years, mean age 32.8 years) who underwent EBP in the Department of Radiology were included in this study. Pain relief within three days after EBP was evaluated based on medical record and classified on a 3-level scale: complete relief; incomplete relief; and failure. Recurrence is defined as aggravated postural headache after three days. We evaluated and compared treatment outcome between PDPH and SIH, using Fisher’s exact test (considered as significant when p < 0.05).

Results: In 12 PDPH patients, the EBP provided complete relief in 5 patients (41.7%), and incomplete relief in 7 patients (58.3%). In 4 SIH patients, the EBP provided complete relief in 1 patient (25%), and incomplete relief in 3 patients (75%). There was no significant difference (p = 0.511) of pain relief rate between PDPH and SIH. There was recurrence in 5 patients with PDPH and 1 patient with SIH. Five PDPH patients were retreated by EBP with incomplete relief.

Conclusion: Fluoroscopy-guided EBP provides effective treatment of postural headache for both SIH and PDPH patients.

키워드

Blood Patch, Epidural, Post-Dural Puncture Headache, Intracranial Hypotension

KMID : 1103720140700040299

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주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

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유효성결과(Recomendation)

연구비지원(Fund Source)

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DOI

KCD코드

ICD 03

건강보험코드

자발성 두개내 저압 환자와 경막천자 후 두통 환자군에서의 경막외 혈액 봉합술의 효과의 비교 및 고찰 Comparison of the Efficacy of Epidural Autologous Blood Patch in the Treatment of Spontaneous Intracranial Hypotension and Post-Dural Puncture Headache

Abstract

키워드

자발성 두개내 저압 환자와 경막천자 후 두통 환자군에서의 경막외 혈액 봉합술의 효과의 비교 및 고찰
Comparison of the Efficacy of Epidural Autologous Blood Patch in the Treatment of Spontaneous Intracranial Hypotension and Post-Dural Puncture Headache