Transforaminal Epidural Blood Patch

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Transforaminal epidural blood patch.

Spinal headache is an occasional, but painful complication of epidural injection procedures due to dural puncture that allows leakage of CSF from the thecal sac, thereby reducing intracranial pressure. In the event of failure of conservative management, (e.g. abdominal binder, fluids, acetaminophen), an epidural blood patch is often used. This case report describes a patient with spinal headach...

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Ultrasound-guided epidural blood patch.

A 35-YR-OLD woman presented with a postdural puncture headache for epidural blood patch. The procedure was performed in the lateral position. A curvilinear ultrasound probe with sterile cover was used to visualize the epidural space. A 20-G epidural needle was used to identify the space by the loss-of-resistance technique. Blood was then injected into the epidural space under real-time ultrasou...

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Transforaminal epidural blood patch for intractable spontaneous cerebrospinal fluid leak: a case report

Background Epidural blood patch (EBP) is a recognized treatment for spontaneous cerebrospinal fluid leak (SCFL) and is typically administered by the interlaminar approach. Here, we report a case of a patient in whom SCFL failed to resolve after three applications of interlaminar EBPs before finally being successfully treated with transforaminal EBP. Case presentation We report a case of a 41-...

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Horner's syndrome following an epidural blood patch

A 30-year-old woman presented for an elective nephrectomy and consented to epidural analgesia for postoperative pain relief. She had a past medical history of duplex kidney and previous partial nephrectomy following recurrent urinary tract injections from pelviureteric junction obstruction. Epidural insertion at the mid-thoracic level prior to surgery resulted in inadvertent dural puncture with...

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Aseptic precautions for epidural blood patch.

headache symptoms compared with patients administered blood patch, and should have been excluded from this analysis, in our opinion. Indeed, these women could be considered ‘treatment successes’, since they received analgesia sufficient to be able to continue childcare at home, headache-free at one week, without exposure to the risks of epidural blood patch. It follows that a similar proportion...

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ژورنال

عنوان ژورنال: Pain Physician

سال: 2007

ISSN: 2150-1149,1533-3159

DOI: 10.36076/ppj.2007/10/579