title: Another cause of headache after epidural injection.
abstract: Headache is a potential complication of epidural injection. We report a patient who developed headache 5 days after a lumbar epidural steroid injection, which was not related to the epidural procedure, but caused by Duloxetine induced hyponatremia. Antidepressant drug induced headache should be considered in the differential diagnosis of post dural puncture headache.
authors: Department of Anesthesiology, Prince Sultan Military Medical City, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. E-mail: jsanwari@hotmail.com.
authors: Jamil S
authors: JS
authors: Anwari
authors: Abdulaziz A
authors: AA
authors: Hazazi
mesh_terms: D000368:Aged; D000068736:Duloxetine Hydrochloride; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000097:blood / Q000139:chemically induced / Q000150:complications; D007268:Injections, Epidural / Q000009:adverse effects; D007405:Intervertebral Disc Displacement / Q000150:complications; D051299:Post-Dural Puncture Headache / Q000209:etiology*; D012585:Sciatica / Q000150:complications / Q000188:drug therapy; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D012964:Sodium / Q000097:blood; D013130:Spinal Stenosis / Q000150:complications; D013876:Thiophenes / Q000009:adverse effects / Q000627:therapeutic use
chemical_list: D000068736:Duloxetine Hydrochloride; D017367:Selective Serotonin Reuptake Inhibitors; D012964:Sodium; D013876:Thiophenes