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Relief of postural post dural puncture headache by an epidural blood patch 12 months after dural puncture
Author(s) -
Klepstad P.
Publication year - 1999
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1034/j.1399-6576.1999.430916.x
Subject(s) - medicine , epidural blood patch , post dural puncture headache , anesthesia , dura mater , surgery , spinal puncture , intracranial hypotension , cerebrospinal fluid , lumbar puncture , complication , spinal anesthesia
A 20‐year‐old previously healthy male presented at the pain clinic with chronic headache of about one year duration. Clinical examination revealed no pathological manifestations. During the consultation the patient was drinking Coca‐Cola. On direct questioning he told that drinking Coca‐Cola gave partial relief from the headache, and that the headache started after he had received two spinal anaesthetics for treatment of a lower leg fracture. Postural post dural puncture headache was now suspected and an epidural blood patch performed. Despite an interval of nearly 12 months since the dural punctures, a single epidural blood patch completely relieved the headache. This case history demonstrates that an epidural blood patch should be tried if a chronic post dural puncture headache is suspected.