The management of accidental dural puncture

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[Bilateral subdural hematoma secondary to accidental dural puncture].

We report the case of a 25-year-old woman, who received epidural analgesia for labour pain and subsequently presented post-dural puncture headache. Conservative treatment was applied and epidural blood patch was performed. In the absence of clinical improvement and due to changes in the postural component of the headache, a brain imaging test was performed showing a bilateral subdural hematoma....

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Bilateral subdural intracranial hematoma after accidental dural puncture.

A 29-YR-OLD healthy parturient developed positional frontoparietalheadacheafteraccidentalduralpuncture during attempted placement of an epidural catheter. The headache improved with hydration, bed rest, and analgesics. However, it persisted (without postural component) at the 2week interval. Neurologic examination was normal. Magnetic resonance imaging showed the presence of bilateral frontopar...

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Cosyntropin for prophylaxis against postdural puncture headache after accidental dural puncture.

BACKGROUND The aim of the current study was to investigate the effect of administration of cosyntropin after accidental dural puncture (ADP) on the incidence of postdural puncture headache (PDPH) and the need for therapeutic epidural blood patch (EBP). METHODS Ninety parturients who suffered an ADP were studied. After delivery, patients were randomly assigned to one of two equal-sized groups....

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Post-Dural Puncture Headache

August Bier’s first report of spinal anesthesia in August 1898 impressively described the development of a poste dural puncture headache (PDPH) (1). When asked for complications of spinal anesthesia today, patients often respond with PDPH. PDPH is defined as a constant heado ache that worsens in the sitting or upright position folglowing lumbar puncture (LP). Its incidence after spinal anesthes...

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Dural puncture and headache

and employing authorities are being asked to review their consultant requirements to achieve a consultant led service. The increase in the numbers of consultants previously recommended by the British Paediatric Association4 is supported in the report; this will mean a further increase in training grades. In future, training in paediatrics at all levels will need to include work in hospitals and...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2006

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.2005.04483.x