Epidural Blood Patch as a Therapeutic Modality in the Management of Sagging Brain Syndrome

Thursday, November 13, 2025

2:58 PM - 3:06 PM CT

Location: 301 - 302

Introduction:

Sagging brain syndrome is a rare consequence of spontaneous intracranial hypotension (SIH), characterized by brain descent secondary to cerebrospinal fluid (CSF) leak. Patients may present with orthostatic headache, gait disturbance, and cognitive changes, with MRI findings of brain sagging and pachymeningeal enhancement [1,2]. We present a case of an blood patch (EBP) as a viable interventional therapy in the treatment of a pt with headache refractory to conventional medical management.

Submitting Author(s)

TO

Thomas Oh, MD

Resident Physician
St. Louis University Hospital
St. Louis, Missouri, United States

Co-Author(s)

AM

Arjun Meka, MD

Director of Regional Anesthesia and Acute Pain Service, Assistant Professor
Saint Louis University School of Medicine, United States
JL

Jimmy Li, MD

Resident Physician
St. Louis University Hospital, United States
HY

Harrison Yu, MD

Resident Physician
St. Louis University Hospital, United States
JX

Jason Xin, MD

Resident Physician
St. Louis University Hospital, United States