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An epidural blood patch (ebp) is a procedure that uses an injection of your blood to stop a cerebrospinal fluid (csf) leak near your spinal cord The procedure involves injecting a small amount of the patient’s own blood into the epidural space near the site of the leak. It can treat spinal headaches, which can develop after procedures like spinal taps and epidurals.

Cerebrospinal fluid leak hi-res stock photography and images - Alamy

Epidural blood patch (ebp) is the injection of autologous blood into the epidural space with the intent of sealing off a dural tear and stopping the leakage of cerebrospinal fluid (csf). A blood patch is a commonly employed treatment for csf leaks, particularly when conservative measures like bed rest and hydration fail to provide relief Some csf leaks improve with bed rest alone, but most need treatment

Treatments for spinal csf leaks may include

This treatment involves taking a sample of your own blood, then injecting it into the spinal canal. An epidural blood patch (ebp) or epidural fibrin patch (efp) is often the first treatment for a spinal csf leak An ebp, which uses the patient’s own blood, can be applied at the location of the leak if known (targeted), or in the lower back when the leak location is unknown (nontargeted). Post dural puncture headache (pdph) is a side of effect of spinal anesthesia, where the clinician accidentally punctures the dura with the spinal needle and causes leakage of csf.

We have people who have presented to stanford with large subdural hematomas, bad brain sag, bad csf leak They’ve gotten 95% better, back to hanging out with their friends and drinking margaritas, but that last 5% of symptoms prompted us to do repeat imaging. A csf leak decreases the pressure of the spinal fluid in the spine This low pressure leads to a spinal headache which causes severe pain with standing or sitting but is relieved with lying flat

Injecting your blood into the epidural space at the level of the leak creates a patch.

What is a blood patch A blood patch uses your own blood to stop a leak of cerebrospinal fluid (csf) Csf fills the space around the brain and spinal cord This clear fluid acts like a cushion

During a spinal tap or lumbar puncture, a healthcare provider used a needle to take a small sample of csf.