Transforaminal cervical blood patch for the treatment of post-dural puncture headache

被引：11
|
作者：
Slipman, CW
El Abd, OH
Bhargava, A
DePalma, MJ
Chin, KR
机构：
[1] Univ Penn Hlth Syst, Penn Spine Ctr, Philadelphia, PA USA
[2] Univ Penn Hlth Syst, Dept Rehabil Med, Philadelphia, PA USA
[3] Univ Penn Hlth Syst, Dept Orthopaed Surg, Penn Orthopaed Ctr, Philadelphia, PA USA
[4] Harvard Univ, Sch Med, Spaulding Rehabil Hosp, Boston, MA USA
[5] Virginia Commonwealth Univ, Med Coll Virginia, Dept Phys Med & Rehabil, Richmond, VA 23298 USA
来源：
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION | 2005年 / 84卷 / 01期
关键词：
post-dural puncture headache; transforaminal; interlaminar; epidural blood patch;
D O I：
10.1097/01.PHM.0000150795.21022.82
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
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.
引用
收藏
页码：76 / 80
页数：5
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