Shamar Justin Young MD, Presenter: Nothing to Disclose

Tina S. Sanghvi MD, Abstract Co-Author: Nothing to Disclose

Ronald G. Quisling MD, Abstract Co-Author: Nothing to Disclose

• Understand the indications for performing an epidural blood patch, the primary treatment modality for intracranial hypotension (ICH). • Learn proper epidural blood patch procedural techniques and identify different approaches utilized. • Identify possible complications and pitfalls associated with the procedure. • Review pre and post epidural blood patch imaging demonstrating objective radiologic improvement in findings of ICH after treatment and discuss factors suggesting that repeat treatment should be considered.

• Brief review of intracranial hypotension (ICH), with an emphasis on clinical presentation and radiologic findings. • Discussion of of ICH etiologies (see images 1 and 2 demonstrating dural tears/leaks in an idiopathic case of ICH) and review of pre-procedural selection criteria. • Review epidural blood patch procedural techniques with illustrative imaging (see figure 2 which is an intra-procedural image). • Discuss possible complications and pitfalls of the procedure. • Review published success rates of the procedure and discuss factors which potentially limit treatment success. • Describe pre and post epidural blood patch procedural imaging demonstrating positive treatment effect (see figures 4 and 5, pre and post-treatment respectively). • Discuss when a repeat epidural blood patch should be considered.

http://abstract.rsna.org/uploads/2014/14009394/14009394_rhdc.pdf

Young, S, Sanghvi, T, Quisling, R, Epidural Blood Patches: Review of the Technique, Applications, and Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14009394.html