References in periodicals archive ?
Epidural blood patch in post dural puncture headache: a randomised, observer-blind, controlled clinical trial.
Effectiveness of epidural blood patch in management of Post-dural puncture headache.
Occult cervical (C12) dural tear causing bilateral recurrent subdural hematomas and repaired with cervical epidural blood patch.
This report details an immediate improvement in subjective and objective hearing after the administration of an epidural blood patch to a patient with a hearing loss that had developed following a lumbar puncture.
A purely conservative approach to management consists of bed rest, oral hydration, generous caffeine intake and steroid therapy, but autologous epidural blood patch (EBP) has emerged as the most important non-surgical management (6-8).
Prompt diagnosis of the spontaneous intracranial hypotension results in proper treatment, which may be simple in the form of bed rest to epidural blood patch or by spinal tear closure.
Spielman and his colleagues compared the body mass indexes (BMIs) of 98 patients who complained of headaches that lasted more than 1 day and required some combination of narcotics, bed rest, and epidural blood patch with those of 93 patients who either had no headaches or whose headaches lasted no more than 1 day and required no special treatment.
For patients with headache not reducing with supportive treatment epidural blood patch is the gold standard treatment.
The diagnosis of late postpartum eclampsia with PRES syndrome, evolving into acute stroke, seems reasonable but other contributions, like the double dural puncture with a large needle, the concurrent use of caffeine and the large volume epidural blood patch need discussion.
Requirement for and success of epidural blood patch after intrathecal catheter placement for unintentional dural puncture.
In humans, post partum cerebral ischaemia after accidental dural puncture and epidural blood patch was reported by Mercieri et al (2).