PT  - JOURNAL ARTICLE
AU  - Lasboo, A.A.
AU  - Hurley, M.C.
AU  - Walker, M.T.
AU  - Surdell, D.
AU  - Song, J.K.
AU  - Rosenow, J.M.
AU  - Shaibani, A.
TI  - Emergent Image-Guided Treatment of a Large CSF Leak to Reverse “In-Extremis” Signs of Intracranial Hypotension
AID  - 10.3174/ajnr.A1157
DP  - 2008 Oct 01
TA  - American Journal of Neuroradiology
PG  - 1627--1629
VI  - 29
IP  - 9
4099  - http://www.ajnr.org/content/29/9/1627.short
4100  - http://www.ajnr.org/content/29/9/1627.full
SO  - Am. J. Neuroradiol.2008 Oct 01; 29
AB  - SUMMARY: We report the use of an emergent, targeted fibrin spinal epidural blood patch with subarachnoid saline infusion to rapidly reverse “in-extremis” clinical and imaging signs of posterior-fossa coning brought about by acute-on-chronic intracranial hypotension, itself consequent to a cervicothoracic CSF leak. Treatment resulted in a dramatic recovery and eventual discharge with return to normal lifestyle and occupation. The clinical and imaging danger signs are reviewed; fibrin patch technique and potential pitfalls in postprocedure management are analyzed.