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.
机构:
London North West Healthcare NHS Trust, Ear Nose & Throat ENT Dept, London, EnglandLondon North West Healthcare NHS Trust, Ear Nose & Throat ENT Dept, London, England
Jia, Wei
Fadhlillah, Fiqry
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Chelsea & Westminster Hosp NHS Fdn Trust, Emergency Dept, London, EnglandLondon North West Healthcare NHS Trust, Ear Nose & Throat ENT Dept, London, England
机构:
Penn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USAPenn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USA
Abrams, Winfred B.
Park, Jae H.
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Penn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USAPenn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USA
Park, Jae H.
Stiles, Nicholas
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Penn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USAPenn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USA
Stiles, Nicholas
To-Nhu Vu
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Penn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USAPenn State Hlth, Milton S Hershey Med Ctr, Dept Anesthesia & Perioperat Med, 200 Univ Dr,Suite 3330, Hershey, PA 17036 USA