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Anesth Analg 2005;101:1497-1498
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000181002.23135.F9

NEUROSURGICAL ANESTHESIA

Epidural Blood Patch for Headache After Lumboperitoneal Shunt Placement

Leonard R. Allmond, MD*, Greg Stratmann, MD, PhD*, Sandeep M. Kunwar, MD{dagger}, and Daniel H. Burkhardt, MD*

Department of *Anesthesia and Perioperative Care and {dagger}Neurological Surgery, The University of California at San Francisco

Address correspondence and reprint requests to Leonard R. Allmond, MD, Department of Anesthesiology and Perioperative Care, S-436, University of California at San Francisco, San Francisco, CA, 94143-0427. Address e-mail to l_allmond{at}yahoo.com.

Headaches complicating lumboperitoneal (LP) shunt placement have been attributed to shunt failure with resultant high intracranial pressure or to overdrainage with resultant low intracranial pressure. In this case, a 17-yr-old girl had symptoms of a low-pressure headache after LP shunt placement alleviated by an epidural blood patch. The success of this therapy suggests postdural puncture as a possible cause for low-pressure headache after LP shunt placement. Epidural blood patch may be an alternative initial therapy for some low-pressure headaches after LP shunt placement.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.