What is cerebrospinal fluid hypovolemia?

pediatric cases





Pediatric cases1)19 year-old man (College student)

Pediatric cases2)12 year-old girl

Pediatric cases3)12 year-old boy

Pediatric cases4)18 year-old man

Pediatric cases5)13 year-old girl

Case 4. H.T

This is the testament of the father of an elementary school-aged boy who had spontaneous cerebrospinal fluid (CSF) leak and was treated with two blood patch procedures.

My son, a 12-year-old boy, developed symptoms in April 2008. After catching a cold, he suddenly complained that it was "so painful, like my head is cracking" The pathogenesis was unknown. Although he had swollen tonsils and a cold, there was no history of traffic accidents or head trauma. I was surprised to find a boy like him, who loves baseball and runs faster than others, found that "even walking is tough." Owing to his strong fatigue and headache, he was diagnosed with "non-attendance" at the University Hospital, even prior to obtaining a computed tomography (CT) scan of his brain.

Analgesics were ineffective at treating his headache. As I researched his symptoms on the internet I read about Dr. Nagoya T, who is a pediatric head specialist, and from his work suspected that my son had a spontaneous CSF leak. We had to visit a few doctors, before the diagnosis was confirmed as spinal fluid thrombocytopenia. Although the location of the CSF leakage was not certain, since the survival rate of the brain in RI is 20.4%, a blood patch treatment was recommended.

Since my son did not show clinical improvement after the first blood patch treatment, he underwent the same procedure again. His symptoms, i.e., headache and malaise that had persisted for four months, slowly improved following the second blood patch treatment. Although he could only walk a few steps before treatment, he can now walk quite long distances.

He has not attended elementary school for 1 year 4 months since symptom onset. However, we are now encouraging him to return to school. Currently, we help him practice walking to school every morning. His rehabilitation is also scheduled to continue.