title: Safety Concerns About an Epidural Blood Patch in a Patient with Extensive Epidural Fluid Accumulation.
abstract: We present a case of postdural puncture headache in a patient with extensive epidural fluid accumulation. An initial epidural blood patch was aborted because of concern about increased risk of complications. After magnetic resonance imaging, we proceeded with epidural blood patch with a good therapeutic result. We discuss the imaging results and safety concerns we considered when assessing the benefits and risks of epidural blood patch in this patient.
authors.affiliation: From the *Department of Anesthesiology, Erasmus Medical Center, Rotterdam, The Netherlands; and Departments of †Neurology, ‡Radiology, and §Anesthesiology, Ikazia Hospital, Rotterdam, The Netherlands.
authors.forename: Wouter
authors.initials: W
authors.lastname: Droog
authors.forename: Dick M H
authors.initials: DM
authors.lastname: Zuidgeest
authors.forename: Leenoud C W
authors.initials: LC
authors.lastname: de Jonge
authors.forename: Cas J
authors.initials: CJ
authors.lastname: van Oort
mesh_terms: D000328:Adult; D017217:Blood Patch, Epidural / Q000009:adverse effects / Q000379:methods*; D004824:Epidural Space / Q000473:pathology; D005260:Female; D006801:Humans; D007268:Injections, Epidural; D008279:Magnetic Resonance Imaging; D051299:Post-Dural Puncture Headache / Q000628:therapy*; D016896:Treatment Outcome