A case of paradoxical presentation of a postural postdural puncture headache after combined spinal-epidural anesthesia

被引：3

作者：

Bordlee, John W. ^{[1
]}

Beakley, Burton D. ^{[1
]}

Mody, Rayomond ^{[1
]}

McConville, Anne P. ^{[1
]}

Weed, Jonathan T. ^{[1
]}

McClure, Brian P. ^{[1
]}

Foldes, Peter J. ^{[1
]}

Ma, Jonathan G. ^{[1
]}

Kaye, Alan D. ^{[1
]}

Eskander, Jonathan P. ^{[1
]}

机构：

[1] Tulane Sch Med, Dept Anesthesiol, New Orleans, LA 70112 USA

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2017年 / 38卷

关键词：

Combined spinal-epidural; CSE; Dural puncture; Epidural; Paradoxical postdural puncture headache; Spinal headache;

D O I：

10.1016/j.jclinane.2016.08.024

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We report a case of paradoxical presentation of a postural postdural puncture headache secondary to dural puncture with a 25-gauge Whitacre needle for combined spinal-epidural anesthesia. This 27-year old female patient presented to the emergency department with elevated blood pressure and a global headache 9 days after administration of epidural anesthesia for a spontaneous vaginal delivery after an uncomplicated pregnancy. The patient reported that the headache was more intense when lying down and immediately improved when she sat or stood up from a recumbent position. The patient was discharged from emergency depai tuient after an improvement following treatment with labetalol, ondansetron, ketorolac, and fluid resuscitation. (C) 2016 Published by Elsevier Inc.

引用

页码：156 / 157

页数：2

共 7 条

[1] Post-dural (post-lumbar) puncture headache: Risk factors and clinical features [J].

Amorim, Jane A. ;

Gomes de Barros, Mauro V. ;

Valenca, Marcelo M. .

CEPHALALGIA, 2012, 32 (12) :916-923

[2]

Basurto O, 2015, COCHRANE DB SYST REV, V7

[3] RETRACTED: Epidural blood patching for preventing and treating post-dural puncture headache (Retracted Article) [J].

Boonmak, Polpun ;

Boonmak, Suhattaya .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2010, (01)

[4] Paradoxical postural cerebrospinal fluid leak-induced headache: report of two cases [J].

Liu, Henry ;

Kaye, Alan ;

Comarda, Neat ;

Li, Marilyn .

JOURNAL OF CLINICAL ANESTHESIA, 2008, 20 (05) :383-385

[5] A case of paradoxical presentation of postural postdural puncture headache [J].

Liu, Henry ;

Kalarickal, Philip L. ;

Rosinia, Frank .

JOURNAL OF CLINICAL ANESTHESIA, 2012, 24 (03) :255-256

[6] Paradoxical postural headaches in cerebrospinal fluid leaks [J].

Mokri, B ;

Aksamit, AJ ;

Atkinson, JLD .

CEPHALALGIA, 2004, 24 (10) :883-887

[7] LUMBAR PUNCTURE HEADACHE - A REVIEW [J].

RASKIN, NH .

HEADACHE, 1990, 30 (04) :197-200

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