Successful treatment of a recurrent post-dural puncture headache with an epidural blood patch 18 months after the initial dural puncture.
Epidural blood patch
Headache
Post-dural puncture
Journal
International journal of obstetric anesthesia
ISSN: 1532-3374
Titre abrégé: Int J Obstet Anesth
Pays: Netherlands
ID NLM: 9200430
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
20
01
2019
revised:
06
04
2019
accepted:
24
04
2019
pubmed:
18
6
2019
medline:
31
3
2020
entrez:
18
6
2019
Statut:
ppublish
Résumé
Inadvertent dural puncture is a recognised complication of epidural insertion. Parturients are at increased risk of developing a post-dural puncture headache, which can be debilitating for a mother caring for a newborn infant. Epidural blood patch is an effective treatment in patients presenting acutely with post-dural puncture headaches but its efficacy in those with delayed presentation or with late recurrent post-dural puncture headache is less clear. We present the case of a woman with a recurrent post-dural puncture headache who was successfully treated with an epidural blood patch 18 months after the initial dural puncture. Patients who develop post-dural puncture headaches may remain symptomatic for some time and an epidural blood patch may be beneficial, following appropriate investigation.
Identifiants
pubmed: 31204098
pii: S0959-289X(19)30046-9
doi: 10.1016/j.ijoa.2019.04.009
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
152-153Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.