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Am J Phys Med Rehabil · Jan 2005
Case ReportsTransforaminal cervical blood patch for the treatment of post-dural puncture headache.
- Curtis W Slipman, Omar H El Abd, Amit Bhargava, Michael J DePalma, and Kingsley R Chin.
- Penn Spine Center, Hospital of the University of Pennsylvania Health System, White Building, 3400 Spruce Street, Philadelphia, PA 19104, USA.
- Am J Phys Med Rehabil. 2005 Jan 1;84(1):76-80.
AbstractA 40-yr-old woman received a series of three interlaminar epidural steroid injections for the treatment of axial neck pain secondary to degenerative disc disease. Immediately after her third injection, she experienced symptoms of a dural puncture-induced headache. This headache persisted on a daily basis for 3 mos, despite two epidural blood patches using an interlaminar approach, which was finally completely abated with a transforaminal blood patch. The headache was immediately relieved and remained alleviated through the follow-up interval of 1 yr. In this patient, a fluoroscopically guided transforaminal epidural blood patch proved to be more effective than the classic blind interlaminar approach in the treatment of post-dural puncture headache.
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