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Donald J. Gaucher, Jr, MD; Jose A. Perez, Jr, MD

Arch Intern Med. 2002;162:1904-1905.

A post–dural puncture headache is a potential complication of a lumbar puncture. Physicians should be able to readily diagnose and treat this potential complication. Described here is a patient who developed an unresolving post–dural puncture headache that then developed into a subdural hematoma. A subdural hematoma is a rare complication following lumbar punctures. Unresolving headaches following a lumbar puncture should prompt aggressive investigation.

From the Internal Medicine Residency Program, Kern Medical Center, Bakersfield, Calif (Dr Perez). Dr Gaucher is a surgical resident at the University of Missouri at Kansas City.

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