Epidural Blood Patch for Treatment of Postdural Puncture Headache in a Patient with Spinal Fusion and Recent Implantation of Intrathecal Pain Pump

Chistopher J. Burnett, Andrew J. White, Marius D. Vulcan

Division of Anesthesiology, Scott & White Memorial Hospital Temple, College of Medicine, Texas A&M University, College Station, USA..

DOI: 10.4236/ojanes.2013.33039                

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.

Keywords

Epidural Blood Patch; Intrathecal Pain Pump; Spinal Fusion

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	F. van Kooten, “Efficacy of the Epidural Blood Patch for the Treatment of Post Lumbar Puncture Headache BLOPP: A Randomised, Observer-Blind, Controlled Clinical Trial,” BMC Neurology, 2005, Vol. 5, No. 12, 2005. doi:10.1186/1471-2377-5-12
[2]	K. H. Knight, “Implantable Intrathecal Pumps for Chronic Pain: Highlights and Updates,” Croat Med Journal, Vol. 48, No. 1, 2007, pp. 22-34.
[3]	A. G. Munts, “Postdural Puncture Headache in Complex Regional Pain Syndrome: A Retrospective Observational Study,” Pain Medicine, Vol. 10, No. 8, 2009, pp. 1469-1475. doi:10.1111/j.1526-4637.2009.00727.x