title: Epidural blood patch for postdural puncture positional vertigo.
abstract: METHODS
  Case report.
  
  
  OBJECTIVE
  To report an unusual case of refractory positional vertigo without headache that developed after the placement of an epidural catheter for postoperative pain and that was treated with an epidural blood patch.
  
  
  BACKGROUND
  Although it is common practice to use epidural blood patch (EBP) to treat positional headache from postdural puncture (PDP), the literature is limited to one letter to the editor describing PDP positional vertigo treated with EBP.
  
  
  METHODS
  Description of a clinical case.
  
  
  RESULTS
  Here we present a case where the patient presented with the complaint of vertigo without headache and had a characteristic onset with upright position and marked relief when lying down. The patient received an EBP with complete resolution of her symptoms.
  
  
  CONCLUSIONS
  This case illustrates patient can present with an isolated symptom such as dizziness without headache after PDP. The patient received an EBP with complete resolution of her symptom of postdural dizziness.
authors.affiliation: Department of Anesthesia, Critical Care & Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
authors.forename: Rafael
authors.initials: R
authors.lastname: Vazquez
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Johnson
authors.forename: Shihab U
authors.initials: SU
authors.lastname: Ahmed
mesh_terms: D018262:Adenocarcinoma, Clear Cell / Q000150:complications / Q000601:surgery; D015360:Analgesia, Epidural; D017217:Blood Patch, Epidural; D001921:Brain / Q000473:pathology; D004388:Dura Mater; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications / Q000601:surgery; D010149:Postoperative Pain / Q000188:drug therapy; D011655:Pulmonary Embolism / Q000150:complications; D013129:Spinal Puncture / Q000009:adverse effects*; D016306:Vena Cava Filters; D014717:Vertigo / Q000209:etiology* / Q000628:therapy*