Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review

Table 1

Diagnostic criteria for headache due to spontaneous spinal CSF leak and intracranial hypotension according to the International Classification of Headache Disorders, 2nd edition, 2004 [10].

(A) Diffuse and/or dull headache that worsens within 15 min after sitting or standing, with at least one of the following and fulfilling criterion D:
(1) Neckstiffness
(2) Tinnitus
(3) Hypacusia
(4) Photophobia
(5) Nausea
(B) At least one of the following:
(1) Evidence of low CSF pressure on MRI (e.g., pachymeningeal enhancement)
(2) Evidence of CSF leakage on conventional myelography, CT myelography or cisternography
(3) CSF opening pressure <60 mm H2O in sitting position
(C) No history of dural puncture or other cause of CSF fistula
(D) Headache resolves within 72 h after epidural blood patching