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Postdural Puncture Headache Treated With Epidural Blood Patch and Subsequent Resolution of Atypical Odontalgia: A

Alexander E Zajac1, Michael G Richardson

  • 1From the Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.

A&A Practice
|April 11, 2018
PubMed

A 37-year-old gravida 5 para 4 with gestational hypertension underwent uneventful repeat cesarean delivery and tubal ligation under combined spinal-epidural anesthesia. On postoperative day 3, she developed a postural headache, unrelieved by caffeine, ibuprofen, and hydration. On postoperative day 8, she returned to the hospital for treatment. An epidural blood patch was administered, providing immediate and complete relief of her headache and bilateral upper and lower dental pain, which she noted arising concomitantly with her headache. We suspect bilateral traction on cranial nerve V2 and V3, secondary to intracranial hypotension after dural puncture, as the cause of her pain.

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