Treatment with Repeated Lumbar Epidural Blood Patches 
for a Patient with Orthostatic Headache after Suboccpital Craniectomy

J Korean Neurol Assoc > Volume 23(5); 2005 > Article

Journal of the Korean Neurological Association 2005;23(5): 690-693.

후두하두개골절제술 후 발생한 기립성 두통 환자에서 반복적인 요추 경막외혈액첩포 치료

조승철, 홍성규 오경미 김병조 박건우 이대희

고려대학교 의과대학 신경과학교실

Treatment with Repeated Lumbar Epidural Blood Patches for a Patient with Orthostatic Headache after Suboccpital Craniectomy

Seung Chul Cho

Department of Neurology, Korea University College of Medicine, Seoul, Korea

Abstract

Orthostatic headache after suboccipital craniectomy has been rarely reported. A 32-year-old man underwent emergent suboccipital craniectomy due to acute bilateral cerebellar infarctions with massive brain edema. Although his neurological deterioration halted after the craniectomy, he still suffered from a severe disabling orthostatic headache. We performed two epidural blood patches at the levels of the lumbar & thoracic spine. He improved considerably a few days after the repetitive epidural blood patches. Epidural blood patches may be a useful treatment modality for post-craniectomy postural headaches.KeyWords:Orthostatic headache, Craniectomy, Epidural blood patch