PT  - JOURNAL ARTICLE
AU  - Sidebotham, David
AU  - Willoughby, Ernest
AU  - Schug, Stephan A.
TI  - Late Recurrence of Postdural Puncture Headache
AID  - 10.1136/rapm-00115550-199722040-00016
DP  - 1997 Jul 01
TA  - Regional Anesthesia: The Journal of Neural Blockade in Obstetrics, Surgery, & Pain Control
PG  - 382--384
VI  - 22
IP  - 4
4099  - http://rapm.bmj.com/content/22/4/382.short
4100  - http://rapm.bmj.com/content/22/4/382.full
SO  - Reg Anesth Pain Med1997 Jul 01; 22
AB  - Background and Objectives Postdural puncture headache can recur following an epidural blood patch but usually does so within the first week. However, a late recurrence was encountered in a 31-year-old woman with probable lupus vasculitis.Methods The patient underwent a diagnostic lumbar puncture and suffered a postdural puncture headache. She was treated with an epidural blood patch and had complete resolution of her headache. Five weeks later, she suffered a sudden recurrence of an identical headache and underwent a repeat epidural blood patch.Results The second headache, like the first, was immediately and completely resolved.Conclusions A review of risk factors for postdural puncture headache and the role of an epidural blood patch suggests a possible explanation for the late recurrence in this case.