Spontaneous Thoracic Dural Tear Presenting With Postural Headache: A Case Report
Rebecca Greenspan1,2, Kevin Johnson1, Anil Chakravorty1
1MetroHealth Medical Center, Department of Physical Medicine and Rehabilitation, Cleveland, OH.
Pain Medicine Case Reports
|September 10, 2025
Summary
Spontaneous dural tears, though rare, can cause postural headaches. A case report details a successful epidural blood patch for a thoracic dural tear, resolving symptoms.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Incidental dural tears (durotomy) are recognized complications associated with spinal instrumentation procedures.
- Most durotomies result from direct trauma, such as during anesthesia or spinal decompression surgery.
- Spontaneous dural tears, while less common, have been documented.


