Fluoroscopy-guided caudal epidural blood patch for relieving post-dural puncture headache after lumbar spine surgery

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...

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

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...

Epidural Blood Patch for the Management of Post-dural Puncture Headache

4 Aim: Post-dural puncture headache (PDPH) is characterized by its severity and nausea in some patients after spinal and epidural anesthesia. The aim of this study is to evaluate the effect of epidural blood patch (EBP) application and compare it to the conservative treatment procedure in patients suffering from PDPH. Material and Methods: Between 2004 and 2007, The American Society of Anesthes...

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...