It was reported in an article (simopoulos, t.T., sharma, s., aner, m., gill, j.S.The incidence and management of postdural puncture headache in patients undergoing percutaneous lead placement for spinal cord stimulation.Neuromodulation: journal of the international neuromodulation society.2016.Doi: 10.1111/ner.12445) that a 40-year-old female undergoing a spinal cord stimulation (scs) trial for interstitial cystitis experienced a postdural puncture headache (pdph) from an l4/5 level dural puncture 3 days after the placement of dual permanent trial leads.The patient's medical records reportedly documented difficult lead insertion.The pdph did not respond to conservative non-interventional treatments, including bed rest, iv fluids, and analgesics of at least 24 hours duration and ultimately underwent an epidural blood patch with hardware in situ.The patient made a full recovery following the blood patch (minimum follow up of one year) with no documented long term sequelae.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
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