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Case Reports
. 2015 Apr;20(2):167-9.
doi: 10.17712/nsj.2015.2.20140769.

Another cause of headache after epidural injection

Affiliations
Case Reports

Another cause of headache after epidural injection

Jamil S Anwari et al. Neurosciences (Riyadh). 2015 Apr.

Abstract

Headache is a potential complication of epidural injection. We report a patient who developed headache 5 days after a lumbar epidural steroid injection, which was not related to the epidural procedure, but caused by Duloxetine induced hyponatremia. Antidepressant drug induced headache should be considered in the differential diagnosis of post dural puncture headache.

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Figures

Figure 1
Figure 1
Diagnostic criteria for the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Na - sodium

References

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    1. National Institute for health and Care Excellence (UK). Neuropathic pain – pharmacological management: The pharmacological management of neuropathic pain in adults in non-specialist settings. NICE guidelines (CG173) London (UK): NICE; 2013. Available from: http://www.nice.org.uk/guidance/cg173 . - PubMed
    1. Maramattom BV. Duloxetine-induced syndrome of inappropriate antidiuretic hormone secretion and seizures. Neurology. 2006;66:773–774. - PubMed
    1. Safdieh JE, Rudominer R. A case of hyponatremia induced by duloxetine. J Clin Psychopharmacol. 2006;26:675–676. - PubMed

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