Post-delivery postural headache: not always a classical post-dural puncture headache

Authors: Eede, H. Vanden¹; Hoffmann¹; Vercauteren

Source: Acta Anaesthesiologica Scandinavica, Volume 51, Number 6, July 2007 , pp. 763-765(3)

Publisher: Blackwell Publishing

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Abstract:

We report a parturient complaining of headache after spinal and epidural labour analgesia with neurological deterioration following an epidural blood patch. Further investigation revealed a medulloblastoma within the fourth ventricle. The patient underwent an operation 4 days after the diagnosis, but died 2 years later. The consequences of the use of neuraxial analgesia and epidural blood patch in the treatment of post-dural puncture headache in this kind of pathology are discussed.

Keywords: Analgesia; epidural blood patch; labour; medulloblastoma; post-dural puncture headache; spinal

Document Type: Research article

DOI: 10.1111/j.1399-6576.2007.01331.x

Affiliations: 1: Department of Anaesthesia, University Hospital Antwerp, Edegem, Belgium

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