title: Epidural blood patch for headache after lumboperitoneal shunt placement.
abstract: Headaches complicating lumboperitoneal (LP) shunt placement have been attributed to shunt failure with resultant high intracranial pressure or to overdrainage with resultant low intracranial pressure. In this case, a 17-yr-old girl had symptoms of a low-pressure headache after LP shunt placement alleviated by an epidural blood patch. The success of this therapy suggests postdural puncture as a possible cause for low-pressure headache after LP shunt placement. Epidural blood patch may be an alternative initial therapy for some low-pressure headaches after LP shunt placement.
authors.affiliation: Department of *Anesthesia and Perioperative Care and †Neurological Surgery, The University of California at San Francisco.
authors.forename: Leonard R
authors.initials: LR
authors.lastname: Allmond
authors.forename: Greg
authors.initials: G
authors.lastname: Stratmann
authors.forename: Sandeep M
authors.initials: SM
authors.lastname: Kunwar
authors.forename: Daniel H
authors.initials: DH
authors.lastname: Burkhardt
mesh_terms: D000293:Adolescent; D017217:Blood Patch, Epidural; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D005260:Female; D006801:Humans; D051299:Post-Dural Puncture Headache / Q000209:etiology / Q000628:therapy*