What is it about?
In idiopathic spinal CSF leaks, the certain detection of leaked point was actually difficult. However, we have devised a new multiple-site EBP method with a single lumbar entry point by way of using an intravenous catheter. This method provides a safe, accurate and effective EBP for patients with spinal CSF leaks.
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Why is it important?
EBP utilizing an intravenous catheter as a slidable device in the epidural space provides a safe and accurate infusion of autologous blood from a single lumbar access point compared with conventional EBP procedure.
Perspectives
Some authors have reported that CSF leakage point could be detected correctly with a few kinds of radiographical examinations. However, is it true and always? I can't yet believe the accuracy of CSF leakage point-like findings even with CT myelography. For the administration of EBP in such condition, our EBP technique utilizing an intravenous cathetersafe from a single lumbar access would be useful.
Tatsuya Ohtonari
Brain Attack Center, Ota Memorial Hospital
Read the Original
This page is a summary of: A novel technique of multiple-site epidural blood patch administration for the treatment of cerebrospinal fluid hypovolemia, Journal of Neurosurgery, May 2012, Journal of Neurosurgery Publishing Group (JNSPG),
DOI: 10.3171/2012.1.jns111568.
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