Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Damage

"This case report describes a rare cause of dizziness in a patient who had a low pressure headache, subsequent to a an inadvertent dural perforation during treatment for post traumatic prolapsed lumbar vertebral discs. Subsequent to this, she developed acute vertigo and was left with chronic episodic vestibular symptoms. Investigation demonstrated bilateral otolithic VEMP abnormalities. This could be from damage to blood supply to both inner ears or traction causing damage to the vestibular nerves bilaterally."