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

نویسندگان

  • M Schlenker
  • E B Ringelstein
چکیده

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Post-dural puncture headache: pathophysiology, prevention and treatment.

Post-dural puncture headache (PDPHA) has been a vexing problem for patients undergoing dural puncture for spinal anaesthesia, as a complication of epidural anaesthesia, and after diagnostic lumbar puncture since Bier reported the first case in 1898. This Chapter discusses the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to th...

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Allogeneic epidural blood patch in the setting of persistent spinal headache and disseminated coccidioidomycosis.

In most cases of post-dural puncture headache, the positional symptoms will resolve spontaneously within 2 weeks. Conservative therapies include oral analgesics and hydration, bed rest, and abdominal binders. For refractory cases, an autologous epidural blood patch remains the treatment of choice. However, in certain cases the use of autologous blood for the blood patch may place the patient at...

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Aspiration pneumonia after anesthesia in a patient with a Zenker diverticulum.

1. Atabaki S, Ochsenschlager D, Vezina G: Post-lumbar puncture headache and backache in pediatrics: A case series and demonstration of magnetic remnance imaging findings. Arch Pediatr Adolesc Med 19%; 153:770-3 2. McHale J, O'Donovdn FC: Postdnral puncture symptoms in a child. Anaesthesia 1997; 52:688 -90 3 . Wee LH, Lam F, Cranston AJ: The incidence of post dural puncture headache in children....

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Efficacy of the epidural blood patch for the treatment of post lumbar puncture headache BLOPP: A randomised, observer-blind, controlled clinical trial [ISRCTN 71598245]

BACKGROUND Post dural punction headache (PDPH) occurs in 10% to 40% of the patients who had a lumbar puncture. Its symptoms can be severe and incapacitating. The epidural blood patch is widely accepted as the treatment of choice for postdural puncture headache. Uncontrolled studies report rapid recovery after patching in 90% to 100% of treated patients. However, sufficient evidence from randomi...

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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....

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عنوان ژورنال:
  • Journal of neurology, neurosurgery, and psychiatry

دوره 50 12  شماره 

صفحات  -

تاریخ انتشار 1987