Treatment with Repeated Lumbar Epidural Blood Patches for a Patient with Orthostatic Headache after Suboccpital Craniectomy.
- Author:
Seung Chul CHO
1
;
Sung Kyu HONG
;
Kyungmi OH
;
Byung Jo KIM
;
Kun Woo PARK
;
Dae Hie LEE
Author Information
1. Department of Neurology, Korea University College of Medicine, Seoul, Korea. okyungmi@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Orthostatic headache;
Craniectomy;
Epidural blood patch
- MeSH:
Adult;
Blood Patch, Epidural*;
Brain Edema;
Headache*;
Humans;
Infarction;
Spine
- From:Journal of the Korean Neurological Association
2005;23(5):690-693
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Orthostatic headache after suboccipital craniectomy has been rarely reported. A 32-year-old man underwent emergent suboccipital craniectomy due to acute bilateral cerebellar infarctions with massive brain edema. Although his neurological deterioration halted after the craniectomy, he still suffered from a severe disabling orthostatic headache. We performed two epidural blood patches at the levels of the lumbar and thoracic spine. He improved considerably a few days after the repetitive epidural blood patches. Epidural blood patches may be a useful treatment modality for post-craniectomy postural headaches.
