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Post Dural Puncture Headache after Lumbar Sympathetic Block: A Report of Two Cases
  1. James D. Artuso, M.D.*,
  2. Rom A. Stevens, M.D.** and
  3. Paul J. Lineberry, M.D.*
  1. From the Departments of Anesthesiology, Uniformed Services University of the Health Sciences and the National Naval Medical Center, Bethesda, Maryland, and the Department of Anesthesia, Hospital for Special Surgery, Cornell University Medical Center, New York, New York
  2. *Instructor of Anesthesiology and Attending Anesthesiologist
  3. **Assistant Professor of Anesthesiology and Director, Pain Clinic. The views presented in this article represent the personal opinions of the authors and do not represent official policy of the Navy Medical Department or the Department of Defense


Dural puncture during lumbar sympathetic block (LSB) is a recognized but apparently uncommon complication. Interestingly, post dural puncture headache (PDPH) has not been reported as a complication of LSB. The authors report two cases of PDPH after LSB. In the first case an attempt to treat the PDPH with an epidural blood patch failed. In the second case the patient developed PDPH and a subdural block during separate LSBs. Possible anatomic explanations for these complications are discussed.

  • Reflex sympathetic dystrophy
  • lumbar sympathetic block
  • complications
  • post dural puncture headache
  • subdural injection of local anesthetics

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