TITLE:
Epidural Blood Patch for Treatment of Postdural Puncture Headache in a Patient with Spinal Fusion and Recent Implantation of Intrathecal Pain Pump
AUTHORS:
Chistopher J. Burnett, Andrew J. White, Marius D. Vulcan
KEYWORDS:
Epidural Blood Patch; Intrathecal Pain Pump; Spinal Fusion
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.3 No.3,
May
13,
2013
ABSTRACT:
We present an interesting case report
of a 49-year-old female who presented with symptoms
of post-dural puncture headache following implantation of an intrathecal pain
pump. Her history was complicated by previous multi-level spinal fusion with hardware. The patient
was evaluated and felt to be a candidate for epidural blood patch, which she
elected to proceed with. Under fluoroscopic guidance epidural blood patch was
successfully performed. Immediately following the procedure the patient noted
significant improvement in the headache and six hours following the procedure was headache free and remained so
at follow up three weeks later.