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Anesth Analg. 2005 Nov;101(5):1497-8.

Epidural blood patch for headache after lumboperitoneal shunt placement.

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  • 1Department of Anesthesiology and Perioperative Care, University of California at San Francisco, San Francisco, CA, 94143-0427, USA.


Headaches complicating lumboperitoneal (LP) shunt placement have been attributed to shunt failure with resultant high intracranial pressure or to overdrainage with resultant low intracranial pressure. In this case, a 17-yr-old girl had symptoms of a low-pressure headache after LP shunt placement alleviated by an epidural blood patch. The success of this therapy suggests postdural puncture as a possible cause for low-pressure headache after LP shunt placement. Epidural blood patch may be an alternative initial therapy for some low-pressure headaches after LP shunt placement.

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