Failure of repeated blood patch in the treatment of spinal headache

Anaesthesia. 1989 Jun;44(6):492-3. doi: 10.1111/j.1365-2044.1989.tb11378.x.

Abstract

The management of a persistent, incapacitating postdural puncture headache that required four consecutive autologous epidural blood patches is presented. Inadequate blood volumes, early patching and steroid in the epidural space are considered as possible causes of failure. Other associated problems and interventions are briefly discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / administration & dosage
  • Blood*
  • Dura Mater / injuries*
  • Female
  • Headache / etiology
  • Headache / therapy*
  • Humans
  • Injections, Epidural / adverse effects*
  • Intervertebral Disc Displacement / drug therapy
  • Methylprednisolone / administration & dosage
  • Methylprednisolone / analogs & derivatives
  • Methylprednisolone Acetate

Substances

  • Anti-Inflammatory Agents
  • Methylprednisolone Acetate
  • Methylprednisolone