Post-dural puncture arm and upper back pain--a report of two cases.
The typical postdural puncture headache manifests as postural frontal, frontotemporal, or occipital headache, which is worsened by ambulation, and improved by decubitus. Accompanying symptoms are nausea, vomiting, and neck stiffness. Various rare presentations after dural puncture, such as upper back pain, arm pain, thoracic pain, bowel and bladder dysfunction have been sparsely reported. We report two cases who sustained arm and upper back pain after spinal anesthesia, and epidural blood patch gave them a complete relief of the symptoms.
Ho
Ching-Tzu
CT
Division of Anesthesiology, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan, ROC.
Wu
Ching-Tang
CT
Yeh
Chun-Chang
CC
Yi
Haun-De
HD
Wong
Chih-Shung
CS
Yang
Chih-Ping
CP
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001132:Arm; D001416:Back Pain / Q000209:etiology*; D017217:Blood Patch, Epidural; D004388:Dura Mater; D005260:Female; D006261:Headache / Q000628:therapy; D006801:Humans; D010146:Pain / Q000209:etiology*; D011247:Pregnancy; D013129:Spinal Puncture / Q000009:adverse effects*