TITLE:
Epidural Blood Patches Performed with Miethke Sensor Reservoir for Continuous Intracranial Pressure Monitoring
AUTHORS:
Nishant J. Modi, Prem P. Darji, Yan C. Magram, Iman A. Rabizadeh
KEYWORDS:
Epidural Blood Patch, Intracranial Pressure Monitoring, Spontaneous Intracranial Hypotension, Post Dural Puncture Headache, Pain Management
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.12 No.1,
January
18,
2023
ABSTRACT: An epidural blood patch (EBP) is a procedure performed by injecting autologous blood into a patient’s epidural space, usually at the site of a suspected CSF leak. It is typically performed in patients with characteristic postural headaches due to low intracranial pressure. We report a case of a young female with an implanted Miethke Sensor Reservoir, which was used for continuous intracranial pressure (ICP) monitoring during a two-level epidural blood patch. ICP increased only with thoracic injection, suggesting thoracic EBP may have greater efficacy than lumbar EBP in treating SIH and PDPH when the site of CSF leak is unknown.