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KMID : 0978920130140020083
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Korean Journal of Clinical Geriatrics
2013 Volume.14 No. 2 p.83 ~ p.86
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Headache without Cerebrospinal Fluid Leakage
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Shim Haeng-Seon
Bae Sung-Il
Choi Seung-Won
Oh Chang-Jin
Shin Myoung-Keun
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Abstract
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Headache can occur after a lumbar epidural block. There are several reasons for the development of headache such as
hypotension, postdural puncture, vascular injection, subarachnoid hemorrhage and pneumocephalus. We report a case of
a 63-year-old male patient who developed a severe headache without neurologic symptoms after a lumbar epidural block
with the loss of resistance technique (LORT) using air. We excluded the possibility of postdural puncture headache because there was no cerebrospinal fluid (CSF) leakage. Brain CT was performed and it revealed pneumocephalus. After conservative treatment, the patient recovered and was discharged on the fourth day of hospitalization.
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KEYWORD
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Cerebrospinal fluid leakage, Headache, Loss of resistance technique, Lumbar epidural block, Pneumocephalus
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