Postdural Puncture Headache after Cervical Medial Branch Block.
- Author:
Young In LEE
1
;
Hyo Jung SOH
;
Eung Don KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea. ehs99@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Medial branch block;
Post-dural puncture headache;
Complications
- MeSH:
Adult;
Bed Rest;
Female;
Headache;
Humans;
Neck Pain;
Needles;
Post-Dural Puncture Headache*;
Punctures
- From:Soonchunhyang Medical Science
2018;24(2):196-198
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cervical medial branch block (MBB) is a frequently performed procedure for management of neck pain that rarely has complications. With fluoroscopic guidance, the procedure is considered a relatively safer procedure than epidural block. We report a case of a 27-year-old woman presenting with postural headache after cervical MBB. Dural penetration by inappropriate needle placement was suspected after reviewing fluoroscopic images of the procedure. After conservative treatment, including bed rest and analgesic treatment, the patient completely recovered without any neurological complications. Complications associated with MBB are rare and previous case reports have focused only on infection or vascular injection as etiologies. This is the first report of complications related to dural puncture after cervical MBB. Our findings suggest that misplacement of the block needle by inaccurate alignment of both sides of the cervical articular pillar, assessed by fluoroscopic view during the procedure, can result in dural injury.
