Paradoxical postural cerebrospinal fluid leak-induced headache: report of two cases.
We report two patients with a history of dural puncture who developed paradoxical postural cerebrospinal fluid leak-induced headache. The patients' headache worsened when they were in the recumbent position, and it improved when they were placed upright. Both patients had a history of migraine headache. The patients were successfully treated with autologous epidural blood patch. The mechanism for PPCLH is to be elucidated.
Liu
Henry
H
Department of Anesthesiology, Louisiana State University Health Sciences Center (LSUHSC), New Orleans, LA 70112, USA; Parish Anesthesia Associates, Metairie, LA 70002, USA; Gasliu Corporation, New Orleans, LA 70131, USA. Electronic address: henryliula@gmail.com.
Kaye
Alan D
AD
Department of Anesthesiology, LSUHSC, 2020 Gravier St, Suite 775, New Orleans, LA 70112, USA.
Comarda
Neal
N
Parish Anesthesia Associates, West Jefferson Medical Center, Marrero, LA 70002, USA.
Li
Marilyn
M
Department of Pediatrics, Tulane University School of Medicine, New Orleans, LA 70112, USA; Hayward Genetic Center, Tulane University Medical Center, New Orleans, LA 70112, USA.