[Treatment of spontaneous XXXX by epidural saline infusion].

@entity1 @entity10 @entity551 @entity5325
INTRODUCTION: @entity5325 ( @entity5325 ) is an uncommon cause of @entity10 due to a cerebrospinal fluid (CSF) @entity551 . Lumbar epidural blood-patch (LEBP) is the most effective treatment and can be repeated in case of relapse. There is no standard therapeutic strategy for @entity1 free of dural tears who fail to respond to several consecutive blood-patches. We report two cases of @entity5325 successfully treated by an epidural saline infusion after two consecutive LEBP. CASE REPORTS: A 35-year-old @entity1 was admitted to hospital for severe @entity10 . The diagnosis of @entity5325 was retained. Two LEBP were performed but with no clinical benefit. @entity10 disappeared totally after an epidural saline infusion. A second @entity1 , aged 75 years, was admitted for chronic @entity10 . The CSF pressure was low. Search for a dural tear was negative. After two unsuccessful LEBPs, the @entity1 was treated with an epidural saline infusion. Her @entity10 resolved completely and definitely. DISCUSSION: It is common procedure to search for a dural tear when @entity1 fail to respond to several consecutive LEPB. Surgical repair is however exceptional. An epidural saline infusion might be an efficient therapeutic alternative despite the small number of cases reported in the literature.
