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Dural Stimulation and Periorbital von Frey Testing in Mice As a Preclinical Model of Headache
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Successful treatment of a recurrent post-dural puncture headache with an epidural blood patch 18 months after the

A Spring1, R McMorrow1

  • 1The National Maternity Hospital, Dublin, Ireland.

International Journal of Obstetric Anesthesia
|June 18, 2019
PubMed

Inadvertent 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.

Keywords:
Epidural blood patchHeadachePost-dural puncture

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