Document Detail

Epidural blood patch for chronic daily headache with postural component: a case report and the review of published cases.
MedLine Citation:
PMID:  18196172     Owner:  NLM     Status:  MEDLINE    
Post dural puncture headache (PDPH) can be observed after any trauma to the dura. The hallmark of PDPH is an increasing headache when assuming the upright position and improvement with the supine position. Diagnosis of PDPH is essentially based on history of dural puncture and clinical presentation. In most cases, if initial conservative therapies fail to provide the relief of symptoms, an epidural blood patch is the therapy of choice. Epidural blood patch is a safe and effective treatment for PDPH and routinely done for acute onset of postural headache after spinal or epidural anesthesia or analgesia. Here, we report the successful treatment of chronic daily headache with a postural component via an epidural blood patch one year after the onset. We also review the literature pertinent to the use of epidural blood patch in chronic daily headache patients with postural component.
Torin Shear; Shihab U Ahmed
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pain physician     Volume:  11     ISSN:  1533-3159     ISO Abbreviation:  Pain Physician     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-15     Completed Date:  2008-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100954394     Medline TA:  Pain Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-80     Citation Subset:  IM    
Department of Anesthesia and Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA.
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MeSH Terms
Blood Patch, Epidural*
Chronic Disease
Headache Disorders / therapy*
Spinal Puncture / adverse effects
Treatment Outcome

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