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Wilton Niall C. T. MRCP FFARCS; Globerson, Jay H. MD; de Rosayro, A. Michael FFARCS, MD
Anesthesia & Analgesia: August 1986

Postdural puncture headache is an unfortunate complication of spinal anesthesia, lumbar puncture, and myelography. Many of these headaches resolve spontaneously during the week after the procedure (1); if not, therapeutic intervention may be necessary. Many therapeutic maneuvers have been used with mixed success. The most reliable is the epidural blood patch, which since its original description (2) has become widely used in the treatment of postdural puncture headache (3–5).

Most reports describe the use of an epidural blood patch within days after the onset of postdural puncture headache, and there are a few case reports describing its use for headache of up to 8 months' duration (6–8). There are none beyond this time.

The following case report describes a postdural puncture headache lasting nineteen months and its ultimate successful treatment using an autologous epidural blood patch.

Address correspondence to Dr. Wilton, Department of Anesthesiology, Room 1G323, Box 0048, University of Michigan Medical Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109.

© 1986 International Anesthesia Research Society