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February 18, 1974

Postspinal Headache: Successful Use of Epidural Blood Patch 11 Weeks After Onset

Author Affiliations

From the Department of Medicine, University of Toronto, Toronto (Dr. Cass), and the Department of Anesthesia, New Mount Sinai Hospital, Toronto (Dr. Edelist). Dr. Cass is now at Massachusetts General Hospital, Boston.

JAMA. 1974;227(7):786-787. doi:10.1001/jama.1974.03230200044008

Postspinal headache is not an uncommon complication of dural puncture. In 80% of cases, the headache resolves spontaneously within two weeks. Past treatment by empirical measures was not very successful. The epidural blood patch is a relatively new technique for treatment of postspinal headache. It has always been used within a few days of development of headache. In our patient the epidural blood patch was used successfully 11 weeks after the development of headache.