Transforaminal blood patch for the treatment of chronic headache from intracranial hypotension: A case report and review

Emil Annabi, Kirk Bowden, Adam Wuollet, Amol Patwardhan, Theodore J. Price, John Lawall, Jeffery Annabi, Steven Barker

Research output: Contribution to journalReview article

3 Scopus citations

Abstract

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 13years. 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 5minutes 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 3months.

Original languageEnglish (US)
Article number923904
JournalAnesthesiology Research and Practice
Volume2012
DOIs
StatePublished - Jan 1 2012

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anesthesiology and Pain Medicine

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