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Intrathecal haematoma after an epidural blood patch
  1. Yoshimi Ito and
  2. Amit Bhagwat
  1. Anaesthesia and Critical Care, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK
  1. Correspondence to Dr Yoshimi Ito; yoshimi.ito{at}


This case demonstrates a rare but potentially serious complication of an epidural blood patch (EBP). Intrathecal haematoma is a rare complication after an EBP and anaesthetists should be able to promptly identify and manage these patients to prevent long-term damage. This case also highlights the importance of informed consent according to the principles of the Montgomery judgement/principle of consent.

  • Anaesthesia
  • Neuroimaging
  • Headache (including migraines)
  • Obstetrics and gynaecology

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  • Contributors This has been written by both YI and AB with both parties contributing equally to the manuscript. The consent has been taken by AB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.