Epidural Blood-Patching to Treat Severe Post Lumbar Puncture Headache

Letter: Epidural blood patch for post-lumbar-puncture headache.

Post–Lumbar Puncture Headache

Hospital Physician June 2007 51 Lumbar puncture is a common procedure performed for diagnostic, anesthetic, and obstetric purposes; however, up to one third of patients may experience headache after the procedure.1,2 In 1898, Bier was the first to report on post–lumbar puncture headache (PLPH) after he and his associates underwent lumbar puncture themselves and experienced headaches first-hand....

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...

ACTH treatment for post-lumbar puncture headache.

1. Inaba H, Kochi A, Yorozu S. Suppression by methylprednisolone of augmented plasma endotoxin-like activity and interleukin-6 during cardiopulmonary bypass. British Journal of Anaesthesia 1994; 72: 348-350. 2. Andersen L, Baek L, Thomsen B, Rasmussen J. Effect of methylprednisolone on endotoxemia and complement activation during cardiac surgery. Journal of Cardiothoracic Anesthesia 1989; 3: 54...

Epidural fibrin clot for the prevention of post-lumbar puncture headache: a new method with risks.