TY - JOUR T1 - Emergent Image-Guided Treatment of a Large CSF Leak to Reverse “In-Extremis” Signs of Intracranial Hypotension JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. SP - 1627 LP - 1629 DO - 10.3174/ajnr.A1157 VL - 29 IS - 9 AU - A.A. Lasboo AU - M.C. Hurley AU - M.T. Walker AU - D. Surdell AU - J.K. Song AU - J.M. Rosenow AU - A. Shaibani Y1 - 2008/10/01 UR - http://www.ajnr.org/content/29/9/1627.abstract N2 - 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. ER -