Goreisan Effective for Two Cases of Post-Dural Puncture Headache / 日本東洋医学雑誌

ABSTRACT

Post-dural puncture headache is a headache caused after lumbar puncture. We report two cases of post-dural puncture headache improved with goreisan. Case 1 was 37-year-old man, Case 2 was 36-year-old woman, and they both had orthostatic headache after lumbar puncture. We diagnosed them as having post-dural puncture headache, and their headaches were improved with goreisan. Based on the international classification of headache disorders, 2 nd edition (ICHD-II), post-dural puncture headache is classified as headache attributed to low cerebrospinal fluid pressure. We treated their cerebrospinal fluid as a “shin-eki” (a body fluid other than blood), and their low cerebrospinal pressure as “suidoku” (fluid retention or depletion, or mal-distribution of “shin-eki”). Goreisan is effective for “suidoku”, so we believe that goreisan was good for their low cerebrospinal pressure. These results suggest that goreisan is a useful option for the treatment of post-dural puncture headache.