1. Recovery After Blood Patch

Spontaneous intracranial hypotension headache is an uncommon disease that resolves spontaneously in most of the cases and in a short period of time. The initial treatment should be symptomatic. In some patients the symptomatology is extremely disabling, and in these cases both the diagnosis and treatment may be performed by an epidural blood patch.

A 49-year-old Caucasian woman, with no previous record of epidural or intrathecal puncture, consulted in the Emergency Department complaining of a 9-day history of frontal headache and diplopia, along with nausea and vomiting. The patient was diagnosed with spontaneous intracranial hypotension headache. Considering the symptomatology and the uncontrolled pain, the Pain Unit of our hospital performed an epidural blood patch. In the first 24h the patient reported a remarkable relief of both headache and diplopia but developed a left lumbar radiculopathy that was treated successfully with supportive measures. Transient lumbar radiculopathy is a common and acceptable event secondary to the use of epidural blood patch as a treatment for spontaneous intracranial hypotension headache.

Recovery After Blood Patch

Epidural blood patch, large-volume; Postdural puncture headache; Pregnancy; Subdural hematoma Abstract Significant complications following large-volume epidural blood patches (LEBPs) in two parturients following LEBP for postdural puncture headache are reported. Download one piece episode free. A 39-year-old woman developed a spinal subdural hematoma causing both lumbar back and radicular pain following a single LEBP using 58. Www.painphysicianjournal.com 345 Thoracic Epidural Blood Patch in SIH punctures and injections were carried out in the lateral decubitus position. A blood patch involves drawing blood from the arm and having it injected into the space just outside the spinal canal. The technique is similar to an epidural steroid injection, and is designed to essentially form a blood clot to act as a patch.