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Complications following large-volume epidural blood patches for postdural puncture headache. Lumbar subdural hematoma

Cara A Riley1, Joan E Spiegel

  • 1Department of Anesthesiology, Critical Care, and Pain Management, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02215, USA.

Journal of Clinical Anesthesia
|August 25, 2009
PubMed

Significant complications following large-volume epidural blood patches (LEBPs) in two parturients following LEBP for postdural puncture headache are reported. A 39-year-old woman developed a spinal subdural hematoma causing both lumbar back and radicular pain following a single LEBP using 58 mL of blood. The second case was a 33-year-old woman who received three LEBPs over a 4-day period totaling 165 mL of blood. She developed arachnoiditis and chronic sacral radiculopathy with resolution 4 months later.

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