Dural puncture. Blood patch not always benign.

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Blood patch for the treatment of post-dural puncture tinnitus

Audiometric disturbances are recognised as potential complications after spinal or epidural anaesthesia; however, incidences of tinnitus occur less frequently. We report a case of a patient with severe bilateral tinnitus post-lumbar puncture who was treated with an epidural blood patch. A 40-year-old ASA I lady (a medically fit patient with no known medical problem) presented with ongoing bilat...

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Experience of epidural blood patch for post-dural puncture headache.

Post-dural puncture headache is a common outcome following either spinal or epidural anesthesia. Cases were collected within five years' period (1988-1992) in Keelung Chang Gung Memorial Hospital. Those cases with relief of post-dural puncture headache after conservative treatment were excluded. There were 159 cases, 128 female patients and 31 male patients. Age ranged from 16-63 yrs. Post-dura...

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Efficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture.

BACKGROUND Postdural puncture headache (PDPH) occurs in up to 80% of parturients who experience inadvertent dural puncture during epidural catheter placement. The authors performed a randomized double blind study to assess the effect of prophylactic epidural blood patch on the incidence of PDPH and the need for therapeutic epidural blood patch. METHODS Sixty-four parturients who incurred inad...

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Once a post-dural puncture headache patient always post-dural puncture headache patient?

It is well known that symptoms of post-dural puncture headache (PDPH) are more likely if there has been a preceding PDPH. We herein present a patient who developed a PDPH following each of two dural punctures separated by 9 years.

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Post-dural puncture thoracic pain without headache: relief with epidural blood patch.

We report two unusual cases of postural, post-dural puncture upper thoracic interscapular backache, without headache, that were relieved by epidural blood patching. There is controversy concerning the aetiology of headache associated with the post-dural puncture syndrome. Mechanisms previously proposed have included traction on pain-sensitive intracranial structures such as the dura or blood ve...

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ژورنال

عنوان ژورنال: BMJ

سال: 1993

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.306.6888.1339-c