Epidural blood patch for headache after lumboperitoneal shunt placement.
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.
Allmond
Leonard R
LR
Department of *Anesthesia and Perioperative Care and †Neurological Surgery, The University of California at San Francisco.
Stratmann
Greg
G
Kunwar
Sandeep M
SM
Burkhardt
Daniel H
DH
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*