• Int J Obstet Anesth · Aug 2024

    Case Reports

    Non-targeted serial epidural blood patches for the treatment of intracranial hypotension headache during late pregnancy: a case report.

    • O Onuoha, K Brown, Y Jiang, and B Orlando.
    • Department of Anesthesiology, Critical Care and Pain Medicine, McGovern Medical School, the University of Texas Health Science Center at Houston, Houston, TX, USA. Electronic address: Onyi.Onuoha@uth.tmc.edu.
    • Int J Obstet Anesth. 2024 Aug 1; 59: 103996103996.

    AbstractIntracranial hypotension can cause persistent and severe orthostatic headaches. It is often the result of cerebrospinal fluid leakage secondary to iatrogenic causes. It can also happen spontaneously. Diagnosing and managing severe orthostatic headaches associated with intracranial hypotension can be challenging, particularly during late pregnancy. This case describes a parturient at 30 weeks' gestation who presented with severe headaches due to intracranial hypotension caused by dural defects and cerebrospinal fluid venous fistula. She was managed with serial non-targeted epidural blood patching as a bridging remedy. This allowed further fetal maturity before delivery and definitive management of the dural leakage after delivery.Published by Elsevier Ltd.

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