63 Subdural Hemorrhage and Cortical Vein Thrombosis after Uneventful Epidural Placement Abstract Type: Case Report/Case Series Ajaz M. Siddiqui, M.D.; Helene Finegold, M.D. Allegheny General Hospital (West Penn Allegheny Health System)Type: Case Report/Case Series Ajaz M. Siddiqui, M.D.; Helene Finegold, M.D. Allegheny General Hospital (West Penn Allegheny Health System) While cerebral venous t...

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...

More than 100 years have passed since the initial description of the postdural puncture headache (PDPH). However, this unique clinical entity still continues to fascinate anesthesiologists, and numerous studies on its pathophysiology, prevention, and treatment, have been published. There is considerable variability in the incidence of PDPH, which is affected by many factors such as age, gender,...

PURPOSE Sphenopalatine ganglion block is widely accepted in chronic pain; however it has been underestimated in post dural puncture headache treatment. The ganglion block does not restore normal cerebrospinal fluid dynamics but effectively reduces symptoms associated with resultant hypotension. When correctly applied it may avoid performance of epidural blood patch. The transnasal approach is a...

Postdural puncture headache (PDPH) was described immediately after the first spinal anesthesia (SA), when Bier himself suffered from a debilitating headache and attributed it to cerebrospinal fluid leakage through the dural rent. With better understanding of the pathophysiology of PDPH, and use of smaller bore needles for SA, the incidence to PDPH has gone down. Numerous risk factors for PDPH h...