• Regional anesthesia · Jul 1996

    Case Reports

    Successful use of epidural blood patch for postdural puncture headache following lumbar sympathetic block.

    • L J Lehmann, A Hacobian, and J M DeSio.
    • Harvard Medical School, Beth Israel Hospital, Boston, Massachusetts 02215, USA.
    • Reg Anesth. 1996 Jul 1;21(4):347-9.

    Background And ObjectivesA 21-year-old man was scheduled for a diagnostic lumbar sympathetic block for reflex sympathetic dystrophy of the right lower extremity.MethodsThe patient experienced paresthesias with possible puncture of a dural sleeve during needle placement under fluoroscopy. After discharge, the patient developed a positional headache, which increased in intensity over 48 hours. An epidural blood patch was subsequently performed.ResultsThe patient obtained complete relief from the headache.ConclusionPostdural puncture headache resulting from leakage of cerebrospinal fluid through a punctured dural sleeve may be successfully treated with an epidural blood patch should more conservative treatments fail.

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