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Clinical Pediatrics
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Prolonged Headache After Lumbar Puncture

Successful Treatment with an Epidural Blood Patch in a 12-Year-Old Boy

Kenneth B. Robbins, MD

Department of Pediatrics, Straub Clinic and Hospital, Inc., 888 South King Street, Honolulu, HI 96813

Jerry E. Prentiss, MD

Departments of Pediatrics and Anesthesiology, Straub Clinic and Hospital, Inc., Honolulu, Hawaii

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.

Clinical Pediatrics, Vol. 29, No. 6, 350-352 (1990)
DOI: 10.1177/000992289002900614
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