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Date Published: 12/05/2026
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DOI: https://doi.org/10.55046/vjrnm.5.1390.2025
Issue
No. 5 (2025): Tiếng Anh
Section
Medical Forum
How to Cite
Nguyễn, P. A., Nguyen, A. T., Le, V. K., Nguyen, D. T., & Nguyen, X. H. (2026). THE ROLE OF EPIDURAL BLOOD PATCH IN THE TREATMENT OF SPONTANEOUS INTRACRANIAL HYPOTENSION: TWO CASES REPORT. Vietnamese Journal of Radiology and Nuclear Medicine, 5, 80-84. https://doi.org/10.55046/vjrnm.5.1390.2025

THE ROLE OF EPIDURAL BLOOD PATCH IN THE TREATMENT OF SPONTANEOUS INTRACRANIAL HYPOTENSION: TWO CASES REPORT

Phương Anh Nguyễn1, , Anh Tuan Nguyen2, Van Khanh Le2, Duy Trinh Nguyen2, Xuan Hien Nguyen2
1 Bệnh viện đa khoa Tâm Anh Hà Nội
2 Center for diagnostic imaging and interventional radiology, Tam Anh General Hospital, Hanoi, Vietnam

Main Article Content

Abstract

Spontaneous intracranial hypotension (SIH) is a rare but treatable condition characterized by postural headaches and imaging findings suggestive of cerebrospinal fluid (CSF) leakage [1–3]. This report highlights two cases of SIH diagnosed through clinical presentation, brain MRI, and CSF leak localization using myelography. Both patients underwent computed tomography (CT)- guided epidural blood patch (EBP) treatment. We inserted a needle into the epidural space near the cerebrospinal fluid leakage site and proceeded to inject autologous blood. The procedure was performed under CT guidance to ensure accurate injection and safety, thereby enhancing treatment efficacy and avoiding unnecessary complications. Following the treatment, our cases all showed positive outcomes. Significant clinical improvement, including resolution of postural headaches, was noted shortly after treatment. Follow-up MRI scans performed one week later demonstrated substantial recovery of imaging abnormalities. Sustained clinical improvement without recurrence was observed at 18 months of follow-up in the first patient and at 12 months in the second patient.
Along with previously reported cases worldwide [4] and our cases, this demonstrates that CT-guided EBP is a minimally invasive method that provides high therapeutic efficacy and safety for patients.

Keywords

epidural blood patch (EBP), Spontaneous intracranial hypotension (SIH), cerebrospinal fluid (CSF) leakage

Article Details

References

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