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

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

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 - 2012

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Intracranial Hypotension
Epidural Blood Patch
Headache Disorders
Headache
Therapeutics

ASJC Scopus subject areas

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

Cite this

Transforaminal blood patch for the treatment of chronic headache from intracranial hypotension : A case report and review. / Annabi, Emil; Bowden, Kirk; Wuollet, Adam; Patwardhan, Amol M; Price, Theodore J.; Lawall, John; Annabi, Jeffery; Barker, Steven.

In: Anesthesiology Research and Practice, Vol. 2012, 923904, 2012.

Research output: Contribution to journalArticle

Annabi, Emil ; Bowden, Kirk ; Wuollet, Adam ; Patwardhan, Amol M ; Price, Theodore J. ; Lawall, John ; Annabi, Jeffery ; Barker, Steven. / Transforaminal blood patch for the treatment of chronic headache from intracranial hypotension : A case report and review. In: Anesthesiology Research and Practice. 2012 ; Vol. 2012.
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