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Postdural Puncture Headache in a Postpartum Female With Previous Spinal Surgery—Successful Treatment With Caudal Epidural Blood Patch

A Case Report

Orza, Florin M., MD; Averbakh, Elena, MD; Todd, Michael M., MD

doi: 10.1213/XAA.0000000000000845
Case Reports

The occurrence of a postdural puncture headache (PDPH) is a known risk associated with epidural procedures. The primary nonconservative treatment option for PDPH is the performance of an epidural blood patch. This case report describes the use of image guidance for placement of a caudal epidural to treat a PDPH in a postpartum patient. A caudal catheter was placed under real-time guidance and visualization of the deposition of the blood was obtained. By entering via the caudal foramen and utilizing a catheter, manipulations in catheter placement could be performed to adjust deposition of the blood.

From the Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota.

Accepted for publication June 7, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Elena Averbakh, MD, Department of Anesthesiology, University of Minnesota, B515 Mayo Memorial Bldg, 420 Delaware St, MMC 294, Minneapolis, MN 55455. Address e-mail to

© 2019 International Anesthesia Research Society
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