Korean J Geriatr Gerontol.
2013 Dec;14(2):83-86.
Headache without Cerebrospinal Fluid Leakage
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
- 2Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Abstract
- Headache can occur after a lumbar epidural block. There are several reasons for the development of headache such as hypotension, postdural puncture, vascular injection, subarachnoid hemorrhage and pneumocephalus. We report a case of a 63-year-old male patient who developed a severe headache without neurologic symptoms after a lumbar epidural block with the loss of resistance technique (LORT) using air. We excluded the possibility of postdural puncture headache because there was no cerebrospinal fluid (CSF) leakage. Brain CT was performed and it revealed pneumocephalus. After conservative treatment, the patient recovered and was discharged on the fourth day of hospitalization.
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