Intrathecal injection of epidural blood patch: a case report and review of the literature.
Epidural blood patch (EBP) is a commonly performed procedure for the treatment of persistent severe post- dural-puncture headache (PDPH). It has a high success rate with a low incidence of complications. We report the case of a 27-year-old woman who developed progressive back pain and radicular symptoms after an EBP was performed for PDPH. An emergency MRI showed a subarachnoid hematoma. Gradual recovery occurred without the need for intervention. To our knowledge, this is the only case demonstrating the MRI findings of a rare complication of a common procedure. Radiologists may benefit from familiarity with epidural blood patching, including the technique, risks, benefits, and potential complications
Department of Radiology, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA. kalina.peter@mayo.edu
Peter
P
Kalina
Paula
P
Craigo
Toby
T
Weingarten
D000328:Adult; D000775:Anesthesia, Spinal / Q000009:adverse effects; D017217:Blood Patch, Epidural; D005260:Female; D006261:Headache / Q000209:etiology / Q000628:therapy*; D046748:Hematoma, Epidural, Spinal / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D013129:Spinal Puncture / Q000009:adverse effects*