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Kronisk postdural punktur-hovedpine efter meningitis

Andreas Ravn1, Louise Feldborg Lyckhage2 & Rigmor Højland Jensen3 1) Lægerne Bryggergade, Herning 2) Neurologisk Afdeling, Sjællands Universitetshospital, Roskilde 3) Dansk Hovedpinecenter, Neurologisk Klinik, Rigshospitalet-Glostrup Ugeskr Læger 2018;180:V09170635
Ugeskr Læger 2018;180:V09170635
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Chronic post-dural headache secondary to meningitis
In this case report a young man was admitted with fever and headache, and a lumbar puncture revealed viral meningitis. After discharge, the patient experienced persistent headache, which worsened, when he was in upright position. The condition was considered secondary to the meningitis. After 14 months, the patient was diagnosed with post-dural puncture headache and treated with an epidural blood patch (EBP). The patient experienced no headache for three months, whereafter it returned. Subsequent EBP‘s were unsuccessful. This case emphasizes the importance of paying attention to orthostatic components in headaches.
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