Failure of repeated blood patch in the treatment of spinal headache.
The management of a persistent, incapacitating postdural puncture headache that required four consecutive autologous epidural blood patches is presented. Inadequate blood volumes, early patching and steroid in the epidural space are considered as possible causes of failure. Other associated problems and interventions are briefly discussed.
Pain Clinic, Northland Base Hospital, Whangerei, New Zealand.
R A
RA
Fry
A
A
Perera
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001769:Blood; D004388:Dura Mater / Q000293:injuries*; D005260:Female; D006261:Headache / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects*; D007405:Intervertebral Disc Displacement / Q000188:drug therapy; D008775:Methylprednisolone / Q000008:administration & dosage / Q000031:analogs & derivatives; D000077555:Methylprednisolone Acetate
D000893:Anti-Inflammatory Agents; D000077555:Methylprednisolone Acetate; D008775:Methylprednisolone