• Cephalalgia · Nov 2013

    Case Reports

    Successful treatment of post-dural-puncture headache with surgical dura repair two years after spinal anesthesia.

    • Christos D Pouskoulas, Ethan Taub, and Wilhelm Ruppen.
    • Pain Relief Unit, Department of Anesthesia and Intensive Care Medicine, Basel, Switzerland.
    • Cephalalgia. 2013 Nov 1;33(15):1269-71.

    BackgroundPost-dural-puncture headache (PDPH) can be a highly disturbing complication of elective spinal anesthesia. The incidence of PDPH when small needles are used is estimated to be 0%-14.5%. PDPH usually resolves spontaneously within a few days, but there are rare cases that persist in spite of conventional and epidural blood patch therapy.CaseA 59-year-old man suffered from persistent postural headache for more than two years after an otherwise uneventful spinal anesthesia. Conventional and minimally invasive treatments were unsuccessful.Intervention/OutcomeA neurosurgical procedure was performed, during which a dural leak was identified and repaired. The patient was immediately pain free after surgery and has remained so for the duration of follow-up (more than one year).

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