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Lumbovertebral syndrome after extradural blood patch.

M D Seeberger¹, A Urwyler

¹Department of Anaesthesia, University of Basel/Kantonsspital, Switzerland.

British Journal of Anaesthesia

|October 1, 1992

Summary

A patient experienced immobilizing lumbovertebral syndrome after an extradural blood patch. Infectious causes were ruled out, and recovery was achieved with pain management and physical therapy.

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Area of Science:

Neurology
Anesthesiology
Neurosurgery

Background:

Extradural blood patch (EBP) is a common procedure for post-dural puncture headache.
Complications, though rare, can occur and require careful evaluation.

Observation:

A patient developed severe, immobilizing low back pain and stiffness following an EBP.
Hospitalization was prompted by suspicion of an extradural abscess.
Initial investigations aimed to rule out infectious causes of persistent backache.

Findings:

Infectious aetiology for the patient's persistent backache was successfully excluded.
The patient's immobilizing lumbovertebral syndrome resolved with conservative management, including analgesics and physiotherapy.
The probable non-infectious etiology of the syndrome is discussed.

Implications:

This case highlights a rare but significant complication of extradural blood patch.
It underscores the importance of considering non-infectious etiologies in post-procedural back pain.
Conservative management may be effective for this specific type of post-EBP syndrome.

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