J Korean Pain Soc.  2000 Jun;13(1):130-133.

Fulminant Headache after Epiduroscopy

• Oh WS
• Lee SJ
• Hong KH

Abstract

Epiduroscopy is a new imaging and invasive technique that has become increasingly popular in the diagnosis and therapy of spinal pain syndrome. However, the risk of epiduroscopy is a major concern due to its invasiveness. The complications include hematoma, infection, neural damage, cardiac failure and raising of intracranial pressure. We have experienced a case of severe diffuse headache and dizziness following 1 day after epiduroscopy. Emergent brain MRI finding has no remarkable sign. The patient was admitted for 5 days to be treated with bed rest, adequate hydration and pain control with analgesics. After the treatments, she was recovered without residual sequelae and discharged. We need to take greater care of the undesirable effects detected intra- and post epiduroscopy, especially sign of increased intracranial pressure. Therefore, close monitoring of intracranial pressure is necessary during epiduroscopy.

Keyword

Complication, headache; Equipment, epiduroscope

MeSH Terms

Analgesics
Bed Rest
Brain
Diagnosis
Dizziness
Headache*
Heart Failure
Hematoma
Humans
Intracranial Pressure
Magnetic Resonance Imaging
Analgesics