title: The management of a postdural puncture headache in a child.
abstract: We present a case of an 11-year old girl who underwent an elective pyeloplasty and had an epidural catheter placed for per- and postoperative analgesia. Postoperatively she developed a postural headache and severe nausea, and a diagnosis of postdural puncture headache (PDPH) was made. Her symptoms failed to respond to conservative management. An epidural blood patch was performed with immediate and complete resolution of her symptoms. We present this case to highlight the occurrence of PDPH in children and to outline the considerations for management.
authors.affiliation: Birmingham Childrens Hospital, Steelhouse Lane, Birmingham, UK. andy.liley@bch.nhs.uk
authors.forename: Andrew
authors.initials: A
authors.lastname: Liley
authors.forename: M
authors.initials: M
authors.lastname: Manoharan
authors.forename: V
authors.initials: V
authors.lastname: Upadhyay
mesh_terms: D000758:Anesthesia; D000767:Anesthesia, Epidural; D017217:Blood Patch, Epidural; D002648:Child; D004388:Dura Mater; D005260:Female; D006261:Headache / Q000209:etiology / Q000628:therapy*; D006801:Humans; D013129:Spinal Puncture / Q000009:adverse effects*; D013520:Urologic Surgical Procedures