• Int J Obstet Anesth · Nov 2019

    Case Reports

    Successful treatment of a recurrent post-dural puncture headache with an epidural blood patch 18 months after the initial dural puncture.

    • A Spring and R McMorrow.
    • The National Maternity Hospital, Dublin, Ireland.
    • Int J Obstet Anesth. 2019 Nov 1; 40: 152-153.

    AbstractInadvertent dural puncture is a recognised complication of epidural insertion. Parturients are at increased risk of developing a post-dural puncture headache, which can be debilitating for a mother caring for a newborn infant. Epidural blood patch is an effective treatment in patients presenting acutely with post-dural puncture headaches but its efficacy in those with delayed presentation or with late recurrent post-dural puncture headache is less clear. We present the case of a woman with a recurrent post-dural puncture headache who was successfully treated with an epidural blood patch 18 months after the initial dural puncture. Patients who develop post-dural puncture headaches may remain symptomatic for some time and an epidural blood patch may be beneficial, following appropriate investigation.Copyright © 2019 Elsevier Ltd. All rights reserved.

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