Postpuncture headache is the most common complication of epidural block, others include abscission of the tip of catheter, epidural abscess and subarachnoid infection, etc.
A 69-year-old female patient visited the Neuro-Pain Clinic of Seran General Hospital for treatmetn of lower back pain and both sciatica. She received continuous epidural block, psoas compartment block, lumbar facet joint block and lumbar facet
thermocoagulation. During the epidural block procedure the dura was accidently puntured and auto-logous blood patch was performed. Three days later, she manifsted fever, nausea, vomiting, mild neck stiffness and mental deterioration. Meningitis
was
suspected as the cause of these signs. The CSF study reported: protein 400 mg/dl, sugar 14 mg/dl, WBC 468/㎣. She was recovered from the meningitis after after adequate antibiotic therapy.
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