Successful treatment of a recurrent post-dural puncture headache with an epidural blood patch 18 months after the initial dural puncture

被引:2
|
作者
Spring, A. [1 ]
McMorrow, R. [1 ]
机构
[1] Natl Matern Hosp, Holies St, Dublin 2, Ireland
关键词
Headache; Post-dural puncture; Epidural blood patch;
D O I
10.1016/j.ijoa.2019.04.009
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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. (C) 2019 Elsevier Ltd. All rights reserved.
引用
收藏
页码:152 / 153
页数:2
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