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Exacerbation of post-dural puncture headache after epidural blood patch
W M Woodward1, D M Levy, A M Dixon
1University Department of Anaesthetic and Surgical Sciences, Royal Hallamshire Hospital, Sheffield.
Summary
A rare complication of epidural blood patch involves symptom exacerbation post-procedure for post-dural puncture headache. This case highlights a previously unreported adverse event following epidural blood patch treatment.
Area of Science:
- Anesthesiology
- Neurology
Background:
- Post-dural puncture headache is a known complication of dural puncture.
- Epidural blood patch is a common treatment for post-dural puncture headache.
Observation:
- A patient developed post-dural puncture headache, neck, and shoulder pain after an initial epidural blood patch.
- A second epidural blood patch led to immediate and severe symptom exacerbation.
Findings:
- The exacerbation of symptoms following the second epidural blood patch resolved with diclofenac.
- This represents a previously unreported complication of epidural blood patch.
Implications:
- Clinicians should be aware of the potential for symptom exacerbation after epidural blood patch.
- Further research may be needed to understand and manage this rare complication.