TITLE:
Is It Safe to Perform an Autologous Epidural Blood Patch on Patients with Underlying Spinal Stenosis or Lumbar Disc Disease? Case Report and Literature Review
AUTHORS:
Dennerd Ovando Jr., Ming Xiong
KEYWORDS:
Epidural Blood Patch, Post-Dural Puncture Headache, Spinal Stenosis, Disc Herniation, Obstetrics
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.13 No.1,
January
31,
2023
ABSTRACT: The most common spinal pathology seen in the obstetric population is lumbar disc herniation. There is currently no literature documenting the safety of performing an epidural blood patch on obstetric patients with underlying spinal pathology. We present a case of a patient with known severe lumbar spinal stenosis with compressive radiculopathy who received a successful epidural blood patch without worsening her underlying neurologic symptoms. Epidural blood patches can be safely performed in this patient population. However, the anesthesiologist should be aware of the risk of potentially worsening preexisting neurological deficits. Thus, we advise caution prior to placing an epidural blood patch on these patients. The risks and benefits of the procedure should be carefully weighed and considered. It is important to have a thorough discussion with the patient regarding the risks of an epidural blood patch prior to performing the procedure.