A CLINICAL CASE OF HEADACHES AFTER SPINAL ANESTHESIA CONSERVATIVE TREATMENT

Abstract

We present a clinical case of conservative treatment for post-dural puncture headache. Conservative treatment is ef- fective with caffeine, gabapentin, theophylline and hydrocorti- sone, other medicines need clarification (sumatriptan, adreno- corticotropic hormone, pregabalin). For sumatriptan a history of migraine headaches can be an indication. In this clinical case post-dural puncture headaches developed after spinal anesthe- sia for phlebectomy. The bed rest and caffeine administration have not succeeded. On the third day, after revealing history of migraine headaches, sumatriptan was prescribed: 50 mg oral- ly along with the previous conservative therapy. In three hours the headache regressed. The second 50 mg of sumatriptan were given the following day. The headaches never came back. The pa- tient was discharged on the 8th day. A phone call in a week after discharge showed the headaches did not come back. Thus, pre- scription of sumatriptan to the patient with a migraine headaches history showed high efficiency, allowing pain treatment, quick activity increase, significant health improvement.