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KMID : 0356920080550030387
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Korean Journal of Anesthesiology
2008 Volume.55 No. 3 p.387 ~ p.390
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Pneumocephalus after an autologous blood patch procedure to treat a postdural puncture headache - A case report -
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Lee Seung-Soo
Lee Sang-Gon
Min Byung-Woo
Ban Jong-Seouk
Lee Ji-Hyang
Kim Eun-Ju
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Abstract
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Postdural puncture headache is the most common complication of unintentional dural puncture with an epidural needle. We present here the case of a 44-year-old woman who developed a severe headache from pneumocephalus, which was the result of an epidural blood patch procedure being performed to treat a PDPH. Both the epidural block and the autologous blood patch procedure were done at the L4?5 interspinous space with the loss of resistance technique and using air. After the epidural blood patch procedure, the headache was not relieved at the supine position and the computerized tomographic brain scan revealed the presence of air within the intracranial cavities. After conservative treatment, she was discharged from the hospital on the fourth-day without any neurologic sequelae.
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KEYWORD
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autologous blood patch, pneumocephalus, postdural puncture headache
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