Anesthesiology and Pain Medicine

Published by: Kowsar

Persistent Spinal Headache After Removal of Intrathecal Drug Delivery System: A Case Report and Review of Literature

Lakshmi N. Kurnutala 1 , * , David Kim 2 , Huma Sayeed 2 and Nabil Sibai 2
Authors Information
1 Department of Anesthesiology, University of Mississippi Medical Center, Jackson, Mississippi, USA
2 Department of Anesthesiology and Pain Medicine, Henry Ford Hospital, Detroit, Michigan, USA
Article information
  • Anesthesiology and Pain Medicine: October 01, 2015, 5 (5); e29786
  • Published Online: October 10, 2015
  • Article Type: Case Report
  • Received: May 7, 2015
  • Revised: June 10, 2015
  • Accepted: July 21, 2015
  • DOI: 10.5812/aapm.29786

To Cite: Kurnutala L N, Kim D, Sayeed H, Sibai N. Persistent Spinal Headache After Removal of Intrathecal Drug Delivery System: A Case Report and Review of Literature, Anesth Pain Med. 2015 ; 5(5):e29786. doi: 10.5812/aapm.29786.

Copyright © 2015, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Belverud S, Mogilner A, Schulder M. Intrathecal pumps. Neurotherapeutics. 2008; 5(1): 114-22[DOI]
  • 2. Neuman SA, Eldrige JS, Qu W, Freeman ED, Hoelzer BC. Post dural puncture headache following intrathecal drug delivery system placement. Pain Physician. 2013; 16(2): 101-7[PubMed]
  • 3. Baysinger CL, Pope JE, Lockhart EM, Mercaldo ND. The management of accidental dural puncture and postdural puncture headache: a North American survey. J Clin Anesth. 2011; 23(5): 349-60[DOI][PubMed]
  • 4. Macarthur A. Chestnut's Obstetric Anesthesia Principles and Practice. 2009; : 677-700[DOI]
  • 5. Sechzer PH, Abel L. Post-spinal anesthesia headache treated with caffeine: evaluation with demand method—part I. Curr Ther Res. 1978; 24: 307-12
  • 6. Camann WR, Murray RS, Mushlin PS, Lambert DH. Effects of oral caffeine on postdural puncture headache. A double-blind, placebo-controlled trial. Anesth Analg. 1990; 70(2): 181-4[PubMed]
  • 7. Harrington H, Tyler HR, Welch K. Surgical treatment of post-lumbar puncture dural CSF leak causing chronic headache. Case report. J Neurosurg. 1982; 57(5): 703-7[DOI][PubMed]
  • 8. Ghafoor VL, Epshteyn M, Carlson GH, Terhaar DM, Charry O, Phelps PK. Intrathecal drug therapy for long-term pain management. Am J Health Syst Pharm. 2007; 64(23): 2447-61[DOI][PubMed]
  • 9. Coombs DW, Saunders RL, Gaylor M, Pageau MG. Epidural narcotic infusion reservoir: implantation technique and efficacy. Anesthesiology. 1982; 56(6): 469-73[PubMed]
  • 10. Patt RB, Hassenbusch SJ. Implantable technology for pain control: identification and management of problems and complications. Interventional Pain Management. 2001; : 654–670
  • 11. Flaatten H, Felthaus J, Larsen R, Bernhardsen S, Klausen H. Postural post-dural puncture headache after spinal and epidural anaesthesia. A randomised, double-blind study. Acta Anaesthesiol Scand. 1998; 42(7): 759-64[PubMed]
  • 12. Bezov D, Ashina S, Lipton R. Post-dural puncture headache: Part II--prevention, management, and prognosis. Headache. 2010; 50(9): 1482-98[DOI][PubMed]
  • 13. Freeman ED, Hoelzer BC, Eldrige JS, Moeschler SM. Fibrin glue to treat spinal fluid leaks associated with intrathecal drug systems. Pain Pract. 2014; 14(6): 570-6[DOI][PubMed]
  • 14. Dominguez E, Latif O, Rozen D, Sahinler B, Orbegozo M, Edmunds A, et al. Subdural blood patch for the treatment of persistent CSF leak after permanent intrathecal catheter implantation: a report of two cases. Pain Pract. 2001; 1(4): 344-53[DOI][PubMed]
  • 15. Friedberg SR. Operative Neurosurgical Techniques. 2000; : 2265-70
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