Treatment of postural headache occurred 26 days after spinal pain procedure - A case report -
Background Cerebrospinal fluid (CSF) leakage may cause intracranial hypotension and postural headache. Secondary intracranial hypotension may result from an iatrogenic dural puncture or traumatic injury associated with pain procedures. Case A 45-year-old male developed a headache 26 days after spina...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2023-10-01
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| Series: | Anesthesia and Pain Medicine |
| Subjects: | |
| Online Access: | http://anesth-pain-med.org/upload/pdf/apm-23082.pdf |
| _version_ | 1797628847360835584 |
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| author | Seoyoung Park Yun-Hee Lim Byung Hoon Yoo |
| author_facet | Seoyoung Park Yun-Hee Lim Byung Hoon Yoo |
| author_sort | Seoyoung Park |
| collection | DOAJ |
| description | Background Cerebrospinal fluid (CSF) leakage may cause intracranial hypotension and postural headache. Secondary intracranial hypotension may result from an iatrogenic dural puncture or traumatic injury associated with pain procedures. Case A 45-year-old male developed a headache 26 days after spinal pain procedure. Headache was characterized as postural, worsening with standing or sitting and improving while lying down. The pain did not resolve despite the administration of oral and intravenous analgesics. A spinal magnetic resonance imaging revealed epidural venous congestion and a suspicious CSF leak around the left L4/5 level. The patient received an epidural blood patch (EBP), the headache improved dramatically, and the patient was discharged. Conclusions Delayed postural headaches may not be directly related to pain management. Nevertheless, intracranial hypotension related to pain management should be suspected even in this case. If confirmed, quickly applying an EBP is an effective treatment option. |
| first_indexed | 2024-03-11T10:44:56Z |
| format | Article |
| id | doaj.art-6a969f9165654059b50d3bc13c45f707 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-11T10:44:56Z |
| publishDate | 2023-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-6a969f9165654059b50d3bc13c45f7072023-11-14T06:02:59ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772023-10-0118441442010.17085/apm.230821225Treatment of postural headache occurred 26 days after spinal pain procedure - A case report -Seoyoung Park0Yun-Hee LimByung Hoon Yoo1 Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, KoreaBackground Cerebrospinal fluid (CSF) leakage may cause intracranial hypotension and postural headache. Secondary intracranial hypotension may result from an iatrogenic dural puncture or traumatic injury associated with pain procedures. Case A 45-year-old male developed a headache 26 days after spinal pain procedure. Headache was characterized as postural, worsening with standing or sitting and improving while lying down. The pain did not resolve despite the administration of oral and intravenous analgesics. A spinal magnetic resonance imaging revealed epidural venous congestion and a suspicious CSF leak around the left L4/5 level. The patient received an epidural blood patch (EBP), the headache improved dramatically, and the patient was discharged. Conclusions Delayed postural headaches may not be directly related to pain management. Nevertheless, intracranial hypotension related to pain management should be suspected even in this case. If confirmed, quickly applying an EBP is an effective treatment option.http://anesth-pain-med.org/upload/pdf/apm-23082.pdfcerebrospinal fluidepidural blood patchheadacheintracranial hypotensionpost dural puncture headache |
| spellingShingle | Seoyoung Park Yun-Hee Lim Byung Hoon Yoo Treatment of postural headache occurred 26 days after spinal pain procedure - A case report - Anesthesia and Pain Medicine cerebrospinal fluid epidural blood patch headache intracranial hypotension post dural puncture headache |
| title | Treatment of postural headache occurred 26 days after spinal pain procedure - A case report - |
| title_full | Treatment of postural headache occurred 26 days after spinal pain procedure - A case report - |
| title_fullStr | Treatment of postural headache occurred 26 days after spinal pain procedure - A case report - |
| title_full_unstemmed | Treatment of postural headache occurred 26 days after spinal pain procedure - A case report - |
| title_short | Treatment of postural headache occurred 26 days after spinal pain procedure - A case report - |
| title_sort | treatment of postural headache occurred 26 days after spinal pain procedure a case report |
| topic | cerebrospinal fluid epidural blood patch headache intracranial hypotension post dural puncture headache |
| url | http://anesth-pain-med.org/upload/pdf/apm-23082.pdf |
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