• J Clin Anesth · Aug 2009

    Case Reports

    Complications following large-volume epidural blood patches for postdural puncture headache. Lumbar subdural hematoma and arachnoiditis: initial cause or final effect?

    • Cara A Riley and Joan E Spiegel.
    • Department of Anesthesiology, Critical Care, and Pain Management, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02215, USA.
    • J Clin Anesth. 2009 Aug 1;21(5):355-9.

    AbstractSignificant complications following large-volume epidural blood patches (LEBPs) in two parturients following LEBP for postdural puncture headache are reported. A 39-year-old woman developed a spinal subdural hematoma causing both lumbar back and radicular pain following a single LEBP using 58 mL of blood. The second case was a 33-year-old woman who received three LEBPs over a 4-day period totaling 165 mL of blood. She developed arachnoiditis and chronic sacral radiculopathy with resolution 4 months later.

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