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
Kalina
Peter
P
Department of Radiology, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA. kalina.peter@mayo.edu
Craigo
Paula
P
Weingarten
Toby
T
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*