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Papers of the Week

2022 May 18

Pain Pract

Efficacy and safety of cervicothoracic epidural blood patch for patients with spontaneous intracranial hypotension.


Hsu C-M, Liu Y-C, Chen Y-C, Fuh J-L, Huang H-C, Wang Y-F, Chiang I-Y, Wen Y-R
Pain Pract. 2022 May 18.
PMID: 35585760.


Epidural blood patch (EBP) is a generally effective treatment for spontaneous intracranial hypotension (SIH) caused by cerebrospinal fluid (CSF) leakage through the spinal dura mater. It is still unclear, however, whether application near the leakage site (targeted EBP) is more effective than distal application (untargeted EBP). Further, EBP targeted to high thoracic or cervical spine levels is infrequent due to greater technical requirements and potential complications. Here we examined the safety and efficacy of EBP applied to high thoracic or cervical spine levels.