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Successful use of epidural blood patch for postdural puncture headache following lumbar sympathetic block
L J Lehmann1, A Hacobian, J M DeSio
1Harvard Medical School, Beth Israel Hospital, Boston, Massachusetts 02215, USA.
Background And Objectives:
A 21-year-old man was scheduled for a diagnostic lumbar sympathetic block for reflex sympathetic dystrophy of the right lower extremity.
Methods:
The patient experienced paresthesias with possible puncture of a dural sleeve during needle placement under fluoroscopy. After discharge, the patient developed a positional headache, which increased in intensity over 48 hours. An epidural blood patch was subsequently performed.
Results:
The patient obtained complete relief from the headache.
Conclusion:
Postdural puncture headache resulting from leakage of cerebrospinal fluid through a punctured dural sleeve may be successfully treated with an epidural blood patch should more conservative treatments fail.