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Korean J Anesthesiol > Volume 55(3); 2008 > Article
Korean Journal of Anesthesiology 2008;55(3):387-390.
DOI: https://doi.org/10.4097/kjae.2008.55.3.387   
Pneumocephalus after an autologous blood patch procedure to treat a postdural puncture headache: A case report.
Seung Soo Lee, Sang Gon Lee, Byung Woo Min, Jong Suk Ban, Ji Hyang Lee, Eun Ju Kim
Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea. urgal@hanmir.com
Abstract
Postdural puncture headache is the most common complication of unintentional dural puncture with an epidural needle. We present here the case of a 44-year-old woman who developed a severe headache from pneumocephalus, which was the result of an epidural blood patch procedure being performed to treat a PDPH. Both the epidural block and the autologous blood patch procedure were done at the L4-5 interspinous space with the loss of resistance technique and using air. After the epidural blood patch procedure, the headache was not relieved at the supine position and the computerized tomographic brain scan revealed the presence of air within the intracranial cavities. After conservative treatment, she was discharged from the hospital on the fourth-day without any neurologic sequelae.
Key Words: autologous blood patch; pneumocephalus; postdural puncture headache


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