Prolonged headache after lumbar puncture. Successful treatment with an epidural blood patch in a 12-year-old boy

Abstract

A case is presented of a 12-year-old boy with a post-lumbar puncture headache of 6 weeks duration that was treated successfully with an epidural blood patch. Post-lumbar puncture headache in children is an uncommon event. The incidence can be reduced by using a spinal needle no larger than 22 gauge to minimize the size of the dural puncture and subsequent leak of CSF. When a post-lumbar puncture headache occurs, conservative treatment with bedrest, hydration, analgesics, and psychologic support is usually all that is required. When a post-lumbar puncture headache lasts more than 1 week and other diagnoses have been excluded, an epidural blood patch performed by an experienced physician usually provides prompt and complete relief of symptoms with minimal risk.