We report two patients with a history of dural puncture who developed paradoxical postural cerebrospinal fluid leak-induced headache. The patients' headache worsened when they were in the recumbent position, and it improved when they were placed upright. ⋯ The patients were successfully treated with autologous epidural blood patch. The mechanism for PPCLH is to be elucidated.
Henry Liu, Alan Kaye, Neal Comarda, and Marilyn Li.
Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA. henryliula@gmail.com
J Clin Anesth. 2008 Aug 1;20(5):383-5.
AbstractWe report two patients with a history of dural puncture who developed paradoxical postural cerebrospinal fluid leak-induced headache. The patients' headache worsened when they were in the recumbent position, and it improved when they were placed upright. Both patients had a history of migraine headache. The patients were successfully treated with autologous epidural blood patch. The mechanism for PPCLH is to be elucidated.