Postdural puncture headache (PDPH) is a debilitating side effect of spinal anesthesia, the result of dural puncture and cerebrospinal fluid (CSF) leakage with an incidence of 3% to 75% in patient populations. Despite numerous in vitro and in viva studies that have identified predictors associated with PDPH, debate continues on the best technique to reduce CSF leak after dural puncture. The purp...

RATIONALE Although cervical foreign bodies have been previously reported, the report of a needle in the cervical spinal cord is rare. Herein, we report a rare case of a sewing needle in contact with the cervical dura mater and vertebral artery. PATIENTS CONCERNS A 47-year-old man presented with discomfort in the posterior region of his neck. Approximately 2 years before admission, he suffered...

UNLABELLED Multiple complications have been reported with spinal intervertebral transforaminal injection procedures, despite the use of fluoroscopic needle-positioning measures. We explored an imaging technology (optical coherence tomography, or OCT) for its possible use in spine interventional procedures as a means of providing needle tip vision at the neuroforamen. Optical coherence tomograph...

The objectives of this study is to find the incidence of post dural puncture headache(PDPH) while using traumatic(Quincke) and atraumatic(Whitacre) needles for spinal anaesthesia . A prospective randomized double blind study in 100 ASA 1 and 2 patients undergoing lumbar subarachnoid block for elective inguinal hernia surgery conducted over 8 months. Lumbar puncture was performed by Anaesthesiol...

Spinal echinococcal cyst is very uncommon and may have variable clinical presentations. We describe an exceptional case of intradural and extramedullary spinal echinococcal cyst, misguided as a spinal tumour on radiological examination and was diagnosed as echinococcal cyst on fine needle aspiration biopsy smears and subsequently on histopathological examination.

Objective: To determine the dermatomal level of sensory block after spinal anesthesia traditionally used method is pinprick test. Pinprick test is an invasive and painful method. We aimed to compare the dermatomal levels of sensory block determined by noninvasive simple tests touch and cold sense loss with routinely used invasive pinprick stimulation test in clinical practice. Materials and Met...