Use of cyanoacrylate glue for persistent post-dural puncture cerebrospinal fluid leak

Epidural fibrin glue injection stops persistent cerebrospinal fluid leak during long-term intrathecal catheterization.

Dural diverticulum with a symptomatic cerebrospinal fluid leak.

A case report of a 63-year-old female patient with a cervical spinal dural diverticulum and intracranial hypotension secondary to a symptomatic CSF leak after minor trauma. The patient responded well after the cervical approach epidural blood patch procedure.

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...

Post-dural puncture cephalgia.

Post-dural puncture cephalgia is a complication often encountered by the anesthesia practitioner. Disruption in the continuity of the dura incurred during diagnostic procedures (such as myelography or cerebral spinal fluid harvesting) also increases the number of patients requiring treatment for severe to incapacitating cephalgia. The anesthetist's ability to differentiate, evaluate, and assist...

Post-dural puncture headache

Postdural puncture headache (PDPH) has been a problem for patients, following dural puncture, since August Bier reported the first case in 1898. His paper discussed the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to the epidural space. Clinical and laboratory research over the last 30 years has shown that use of small-gauge ...