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Successful epidural blood patch in a patient with headache for 6 months after lumbar root decompression

Published online by Cambridge University Press:  16 August 2006

M. E. Gentili ,
D. Enel  and
A. Blamoutier
M. E. Gentili
Affiliation:
Department of Anaesthesia, Intensive Care and Pain Clinic, C.M.C. Saint-Vincent-Volney, 35760 Saint-Grégoire Department of Anaesthesia and Intensive Care 2, University Hospital, Rennes 35000, France
D. Enel
Affiliation:
Department of Anaesthesia, Intensive Care and Pain Clinic, C.M.C. Saint-Vincent-Volney, 35760 Saint-Grégoire
A. Blamoutier
Affiliation:
Unit of Orthopaedic Surgery, C.M.C. Saint-Vincent-Volney, 35760 Saint-Grégoire
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Abstract

Prolonged headache following dural puncture is an uncommon problem that may occur after a spinal tap, often as a complication of epidural anaesthesia. This problem has also been described after long–term epidural or spinal anaesthesia, myelography or spinal surgery. A case of prolonged postdural puncture headache following lumbar nerve root decompression is described in a healthy young man. No other cause could be found either clinically or with the aid of scanning by computerized tomography or magnetic resonance imaging techniques at the spinal level involved. The symptoms were successfully treated with an epidural blood patch performed seven months following the original surgical operation.

Keywords

regional anaesthesiaepidural blockadeblood patch
Type
Clinical Letter
Information
European Journal of Anaesthesiology , Volume 17 , Issue 3 , March 2000 , pp. 208 - 210
Copyright
2000 European Society of Anaesthesiology

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