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Transforaminal cervical blood patch for the treatment of post-dural puncture headache

A 40-yr-old woman received a series of three interlaminar epidural steroid injections for the treatment of axial neck pain secondary to degenerative disc disease. Immediately after her third injection, she experienced symptoms of a dural puncture-induced headache. This headache persisted on a daily basis for 3 mos, despite two epidural blood patches using an interlaminar approach, which was finally completely abated with a transforaminal blood patch. The headache was immediately relieved and remained alleviated through the follow-up interval of 1 yr. In this patient, a fluoroscopically guided transforaminal epidural blood patch proved to be more effective than the classic blind interlaminar approach in the treatment of post-dural puncture headache

Keywords : Adult,Back Pain,blood,Blood Patch,Epidural,Cervical Vertebrae,complications,Female,Headache,Humans,Injections,instrumentation,methods,Neck,Neck Pain,Pain,rehabilitation,secondary,Shoulder Pain,Spine,therapy,Treatment Outcome,Universities,, Cervical,Blood,Patch, lower back massage near me

Date of Publication : 2005 Jan

Authors : Slipman CW;El Abd OH;Bhargava A;DePalma MJ;Chin KR;

Organisation : Penn Spine Center, Hospital of the University of Pennsylvania Health System, White Building, 3400 Spruce Street, Philadelphia, PA 19104, USA

Journal of Publication : Am J Phys Med Rehabil

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/15632491

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