Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942011000300011
Brazilian Journal of Anesthesiology
Clinical Information

Cefaleia após anestesia subaracnoidea com sete meses de evolução: relato de caso

Post-dural headache with seven months duration: case report

Fabiano Timbó Barbosa

http://dx.doi.org/10.1590/S0034-70942011000300011 Braz J Anesthesiol, vol.61, n3, p.357-359, 2011
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Resumo

JUSTIFICATIVA E OBJETIVOS: A cefaleia pós-punção dural é uma complicação possível e esperada em uma pequena parcela dos casos após a realização da raquianestesia. Este relato teve por objetivo descrever a conduta terapêutica tomada diante de um caso de cefaleia pós-punção de dura-máter com sete meses de evolução. RELATO DO CASO: Paciente do sexo feminino, 40 anos, previamente saudável, apresentou-se ao hospital em quadro de cefaleia com sete meses de duração e que teve início após a realização de raquianestesia. Ao ser examinada, relatou que alguns analgésicos e a posição de decúbito lhe traziam alívio parcial da dor. Após a suspeita de cefaleia pós-punção dural, realizou-se um tampão sanguíneo peridural, com resolução completa do quadro. Recebeu alta hospitalar sem queixas. CONCLUSÕES: O presente caso demonstrou que o tampão sanguíneo peridural foi eficaz no tratamento da cefaleia crônica pós-punção dural em um caso com sete meses de duração.

Palavras-chave

COMPLICAÇÕES, Cefaleia, SANGUE, TÉCNICAS ANESTÉSICAS, Regional

Abstract

BACKGROUND AND OBJECTIVES: Post-dural puncture headache is a possible and expected complication in a small percentage of cases after spinal anesthesia. The objective of the current report was to describe the therapeutic conduct in a case of post-dural puncture headache with seven months of evolution. CASE REPORT: A 40-year-old healthy female who complained of headache for seven months, which began after spinal anesthesia. She reported that some analgesics and decubitus position provided partial pain relief. An epidural blood patch was performed, with complete resolution of pain. She was discharged without complaints. CONCLUSIONS: This case demonstrated that the epidural blood patch was effective in the treatment of chronic post-dural puncture headache in a case with seven-month evolution.

Keywords

Post-Dural Puncture Headache, Anesthesia, Spinal, Blood Patch, Epidural

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