Intrathecal injection of epidural blood patch: a case report and review of the literature

Emerg Radiol. 2004 Aug;11(1):56-9. doi: 10.1007/s10140-004-0365-0. Epub 2004 Jun 25.


Epidural blood patch (EBP) is a commonly performed procedure for the treatment of persistent severe post- dural-puncture headache (PDPH). It has a high success rate with a low incidence of complications. We report the case of a 27-year-old woman who developed progressive back pain and radicular symptoms after an EBP was performed for PDPH. An emergency MRI showed a subarachnoid hematoma. Gradual recovery occurred without the need for intervention. To our knowledge, this is the only case demonstrating the MRI findings of a rare complication of a common procedure. Radiologists may benefit from familiarity with epidural blood patching, including the technique, risks, benefits, and potential complications

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Anesthesia, Spinal / adverse effects
  • Blood Patch, Epidural*
  • Female
  • Headache / etiology
  • Headache / therapy*
  • Hematoma, Epidural, Spinal / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Pregnancy
  • Spinal Puncture / adverse effects*