Use of epidural blood patch in treating chronic headache: Report of six cases
Open Access
- 1 July 1987
- journal article
- case report
- Published by Springer Science and Business Media LLC in Canadian Journal of Anesthesia/Journal canadien d'anesthésie
- Vol. 34 (4), 403-406
- https://doi.org/10.1007/bf03010144
Abstract
Chronic headaches are difficult problems to manage effectively. A select group of six patients with headache symptoms (throbbing headaches, located in the frontal or occipital areas; aggravated by ambulation and relieved by recumbency) resembling post-dural puncture headache received epidural blood patches using autologous blood for their chronic headaches. Five of the six patients obtained effective and sustained pain relief. All of the patients had received placebo injections with normal saline in the paraspinous muscles, without effect. The mechanism of action of the blood patch in these patients is unclear. It is possible that the headache may have been caused by a low pressure cerebrospinal fluid state, due to an unknown anatomical or physiological defect of the ventriculo-spinal system. Further studies are needed to evaluate this treatment modality.Keywords
This publication has 11 references indexed in Scilit:
- PROLONGED BLOCKADE OF OPIOID EFFECTS WITH ORAL NALMEFENEAnesthesiology, 1986
- Epidural blood patch for postdural puncture headache: it's never too late.1986
- Epidural Blood Patch for Postdural Puncture HeadacheAnesthesia & Analgesia, 1986
- Epidural Blood Patch: Evaluation of the Volume and Spread of Blood Injected into the Epidural SpaceAnesthesiology, 1986
- HEADACHE AFTER LUMBAR PUNCTUREThe Lancet, 1981
- Lumbosacral meningismus complicating subdural injection of “blood patch”Journal of Neurosurgery, 1980
- Experiences with epidural blood patchAnaesthesia, 1980
- Radicular Back Pain Following Lumbar Epidural Blood PatchAnesthesiology, 1975
- Epidural injection of autologous blood for postlumbar-puncture headache. II. Additional clinical experiences and laboratory investigation.1972
- Post lumbar puncture headache: an effective method of prevention.1965