[Post-dural headache throughout four years].
A 36-year-old female received an epidural analgesia during a normal vaginal delivery. Post delivery she developed a frontal/occipital headache, which worsened in the erect position. Initial treatment with a blood-patch was without symptom relief. Her past medical history was significant because of occasional migraine headaches. For the next four years the patient complained of persistent headaches. At a Centre for Headaches she was diagnosed with post dural puncture headache. After treatment with bed rest for 3 days and a second blood-patch she was symptom free. This case highlights the need for an additional blood-patch in specific cases of residual post dural puncture headache.
Baerentzen
Finn Ostergård
FO
Glostrup Hospital, Operations- og Anaestesiologisk Afdeling Y. finn-baerentzen@tdcadsl.dk
Mathiesen
Ole
O
D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects*; D016362:Analgesia, Obstetrical / Q000009:adverse effects*; D017217:Blood Patch, Epidural; D005260:Female; D006801:Humans; D051299:Post-Dural Puncture Headache / Q000209:etiology*; D013997:Time Factors