期刊
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
卷 84, 期 1, 页码 76-80出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.PHM.0000150795.21022.82
关键词
post-dural puncture headache; transforaminal; interlaminar; epidural blood patch
A 40-yr-old woman received a series of three interlaminar epidural steroid injections for the treatment of axial neck pain secondary to degenerative disc disease. Immediately after her third injection, she experienced symptoms of a dural puncture-induced headache. This headache persisted on a daily basis for 3 mos, despite two epidural blood patches using an interlaminar approach, which was finally completely abated with a transforaminal blood patch. The headache was immediately relieved and remained alleviated through the follow-up interval of 1 yr. In this patient, a fluoroscopically guided transforaminal epidural blood patch proved to be more effective than the classic blind interlaminar approach in the treatment of post-dural puncture headache.
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