Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review
This case report describes the successful treatment of chronic headache from intracranial hypotension with bilateral transforaminal (TF) lumbar epidural blood patches (EBPs). The patient is a 65-year-old male with chronic postural headaches. He had not had a headache-free day in more than 13 years....
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/923904 |
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| author | Kirk Bowden Adam Wuollet Amol Patwardhan Theodore J. Price John Lawall Jeffery Annabi Steven Barker Emil Annabi |
| author_facet | Kirk Bowden Adam Wuollet Amol Patwardhan Theodore J. Price John Lawall Jeffery Annabi Steven Barker Emil Annabi |
| author_sort | Kirk Bowden |
| collection | DOAJ |
| description | This case report describes the successful treatment of chronic headache from intracranial hypotension with bilateral transforaminal (TF) lumbar epidural blood patches (EBPs). The patient is a 65-year-old male with chronic postural headaches. He had not had a headache-free day in more than 13 years. Conservative treatment and several interlaminar epidural blood patches were previously unsuccessful. A transforaminal EBP was performed under fluoroscopic guidance. Resolution of the headache occurred within 5 minutes of the procedure. After three months without a headache the patient had a return of the postural headache. A second transforaminal EBP was performed again with almost immediate resolution. The patient remains headache-free almost six months from the time of first TF blood patch. This is the first published report of the use of transforaminal epidural blood patches for the successful treatment of a headache lasting longer than 3 months. |
| format | Article |
| id | doaj-art-50f52e7b84c2479887bec585bfbca6da |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-50f52e7b84c2479887bec585bfbca6da2025-02-03T06:42:24ZengWileyAnesthesiology Research and Practice1687-69621687-69702012-01-01201210.1155/2012/923904923904Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and ReviewKirk Bowden0Adam Wuollet1Amol Patwardhan2Theodore J. Price3John Lawall4Jeffery Annabi5Steven Barker6Emil Annabi7Department of Anesthesiology and Pain Management, University of Arizona, 1501 N. Campbell Avenue, Room 5301, P.O. Box 245114, Tucson, AZ 85724, USADepartment of Anesthesiology and Pain Management, University of Arizona, 1501 N. Campbell Avenue, Room 5301, P.O. Box 245114, Tucson, AZ 85724, USADepartment of Anesthesiology and Pain Management, University of Arizona, 1501 N. Campbell Avenue, Room 5301, P.O. Box 245114, Tucson, AZ 85724, USADepartment of Pharmacology, University of Arizona, Tucson, AZ 85724, USADepartment of Neurology, University of Arizona, Tucson, AZ 85724, USAEl Paso Orthopaedic Surgery Group, El Paso, TX 79930, USADepartment of Anesthesiology and Pain Management, University of Arizona, 1501 N. Campbell Avenue, Room 5301, P.O. Box 245114, Tucson, AZ 85724, USADepartment of Anesthesiology and Pain Management, University of Arizona, 1501 N. Campbell Avenue, Room 5301, P.O. Box 245114, Tucson, AZ 85724, USAThis case report describes the successful treatment of chronic headache from intracranial hypotension with bilateral transforaminal (TF) lumbar epidural blood patches (EBPs). The patient is a 65-year-old male with chronic postural headaches. He had not had a headache-free day in more than 13 years. Conservative treatment and several interlaminar epidural blood patches were previously unsuccessful. A transforaminal EBP was performed under fluoroscopic guidance. Resolution of the headache occurred within 5 minutes of the procedure. After three months without a headache the patient had a return of the postural headache. A second transforaminal EBP was performed again with almost immediate resolution. The patient remains headache-free almost six months from the time of first TF blood patch. This is the first published report of the use of transforaminal epidural blood patches for the successful treatment of a headache lasting longer than 3 months.http://dx.doi.org/10.1155/2012/923904 |
| spellingShingle | Kirk Bowden Adam Wuollet Amol Patwardhan Theodore J. Price John Lawall Jeffery Annabi Steven Barker Emil Annabi Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review Anesthesiology Research and Practice |
| title | Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review |
| title_full | Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review |
| title_fullStr | Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review |
| title_full_unstemmed | Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review |
| title_short | Transforaminal Blood Patch for the Treatment of Chronic Headache from Intracranial Hypotension: A Case Report and Review |
| title_sort | transforaminal blood patch for the treatment of chronic headache from intracranial hypotension a case report and review |
| url | http://dx.doi.org/10.1155/2012/923904 |
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