Radiographic appearance of a post-epidural headache

We report the case of a 35-year-old lady who presented with a 6-day history of a postural headache following an uncomplicated epidural catheter insertion. Meningitis was initially suspected and a neurology review was obtained. CT and MRI brain revealed features suggestive of meningitis. However thes...

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Bibliographic Details
Published in:Irish medical journal 2009-10, Vol.102 (9), p.295-296
Main Authors: Weekes, G, Breslin, D
Format: Article
Language:English
Subjects:
Adult
Analgesia, Epidural - adverse effects
Female
Humans
Incidence
Post-Dural Puncture Headache - diagnostic imaging
Post-Dural Puncture Headache - etiology
Radiography
Spinal Puncture - adverse effects
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Summary:We report the case of a 35-year-old lady who presented with a 6-day history of a postural headache following an uncomplicated epidural catheter insertion. Meningitis was initially suspected and a neurology review was obtained. CT and MRI brain revealed features suggestive of meningitis. However these radiological features are also consistent with post dural puncture headache (PDPH). This case highlights the under reported and possible misleading radiographical features of PDPH.
ISSN:0332-3102