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Post dural puncture headache

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https://www.readbyqxmd.com/read/27910226/successful-treatment-of-post-dural-puncture-headache-using-epidural-fibrin-glue-patch-after-persistent-failure-of-epidural-blood-patches
#1
Kevin Wong, Brian R Monroe
OBJECTIVES: Epidural blood patch is the gold standard for the treatment of post-dural puncture headache (PDPH) when conservative treatments have failed to provide any relief. However, alternative therapies are lacking when epidural blood patch persistently fails to improve symptoms. Failure to treat PDPH may lead to significant functional impairment of daily living. Alternative therapies should be sought to accelerate recovery from PDPH. CASE REPORT: This case describes a woman who developed PDPH secondary to accidental dural puncture during a spinal cord stimulator trial...
December 2, 2016: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27761049/post-spinal-headache-in-a-parturient-look-beyond-post-dural-puncture-headache
#2
Anitha Prashanth, Murali Chakravarthy
No abstract text is available yet for this article.
October 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27641087/nine-year-audit-of-post-dural-puncture-headache-in-a-tertiary-obstetric-hospital-in-singapore
#3
J C Tien, M J Lim, W L Leong, E Lew
BACKGROUND: The KK Women's and Children's Hospital is a tertiary obstetric unit with approximately 11000 deliveries per year. Epidural analgesia is used in about 40% of laboring women. We reviewed the incidence and management of post-dural puncture headache over a nine-year period. METHODS: A retrospective audit of labor epidural analgesia database records from 1 June 2005 to 31 May 2014 was conducted, identifying an "event" as an accidental dural puncture, an inadvertent intrathecal catheter insertion and/or development of a post-dural puncture headache...
December 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27601753/effective-management-of-post-labour-analgesia-post-dural-puncture-headache-with-mannitol
#4
Kalpana Rajendra Kulkarni, Rahul Rajarm Patil, Abhishek Ajay Wadhawan
No abstract text is available yet for this article.
August 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27591456/bilateral-greater-occipital-nerve-block-for-treatment-of-post-dural-puncture-headache-after-caesarean-operations
#5
Esra Uyar Türkyilmaz, Nuray Camgöz Eryilmaz, Nihan Aydin Güzey, Özlem Moraloğlu
BACKGROUND: Post-dural puncture headache (PDPH) is an important complication of neuroaxial anesthesia and more frequently noted in pregnant women. The pain is described as severe, disturbing and its location is usually fronto-occipital. The conservative treatment of PDPH consists of bed rest, fluid theraphy, analgesics and caffeine. Epidural blood patch is gold standard theraphy but it is an invasive method. The greater occipital nerve (GON) is formed of sensory fibers that originate in the C2 and C3 segments of the spinal cord and it is the main sensory nerve of the occipital region...
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27501608/effectiveness-of-postoperative-epidural-analgesia-for-thoracic-and-abdominal-surgery-in-siriraj-hospital
#6
Mingkwan Wongyingsinn, Annisa Anuwongjaroen
BACKGROUND: Epidural analgesia is the recommended analgesic technique in patients having surgery with moderate to severe postoperative pain. Inadequate pain control in patients receiving epidural analgesia frequently occurred in clinical practice but the number of the success rate or the failure rate have not been reported in our university hospital. OBJECTIVE: The aim of the prospective descriptive study is to examine various data related to and evaluate the effectiveness of the postoperative epidural analgesia in Siriraj Hospital, a university hospital in Thailand...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27468735/finer-gauge-of-cutting-but-not-pencil-point-needles-correlate-with-lower-incidence-of-post-dural-puncture-headache-a-meta-regression-analysis
#7
Andres Zorrilla-Vaca, Ryan Healy, Carolina Zorrilla-Vaca
PURPOSE: Post-dural puncture headache (PDPH) is a well-known neurological outcome caused by leakage of cerebrospinal fluid during neuraxial anesthesia. Studies aimed at assessing the efficacy of finer gauged spinal needles to reduce the incidence of PDPH have produced conflicting results. We have therefore examined the effect of the gauge of cutting needles and pencil-point needles, separately, on the incidence of PDPH. METHODS: The PubMed, EMBASE and Google Scholar databases were searched for randomized studies which compared PDPH incidence in a head-to-head analysis of individual needle gauges of similar needle designs (cutting and pencil-point)...
October 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/27454277/post-dural-puncture-headache-in-fibromyalgia-after-cesarean-section-a-comparative-cohort-study
#8
Khalid M Morsy, Ayman M Osman, Omar M Shaaban, Dina H El-Hammady
BACKGROUND: Patients of chronic pain syndromes like fibromyalgia (FMS) when subjected to spinal anesthesia are theoretically more liable to post dural puncture headache (PDPH) as they have enhanced central nervous system sensitization and decreased descending inhibition. OBJECTIVE: The current study aims to verify the incidence and chronicity of PDPH in FMS patients. STUDY DESIGN: Case control study. METHODS: In a comparative control study, 70 fibromyalgia patients were scheduled for an elective cesarean delivery fibromyalgia group or Group 1...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/27445257/-bilateral-greater-occipital-nerve-block-for-treatment-of-post-dural-puncture-headache-after-caesarean-operations
#9
Esra Uyar Türkyilmaz, Nuray Camgöz Eryilmaz, Nihan Aydin Güzey, Özlem Moraloğlu
BACKGROUND: Post-dural puncture headache (PDPH) is an important complication of neuroaxial anesthesia and more frequently noted in pregnant women. The pain is described as severe, disturbing and its location is usually fronto-occipital. The conservative treatment of PDPH consists of bed rest, fluid theraphy, analgesics and caffeine. Epidural blood patch is gold standard theraphy but it is an invasive method. The greater occipital nerve (GON) is formed of sensory fibers that originate in the C2 and C3 segments of the spinal cord and it is the main sensory nerve of the occipital region...
September 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27389119/a-multicenter-clinical-study-on-treating-post-dural-puncture-headache-with-an-intravenous-injection-of-aminophylline
#10
Chuanjie Wu, Yajun Lian, Dongsheng Guan, Lijun Wang, Yanyong Miao, Nanchang Xie, Yuan Chen, Yake Zheng
BACKGROUND: Post-dural puncture headache (PDPH) is the most common complication of lumbar puncture. Aminophylline has been reported to be effective in the prevention of PDPH in some clinical studies, but its efficacy for the treatment of PDPH has been unproven. OBJECTIVE: To evaluate the efficacy and safety of an intravenous (IV) injection of aminophylline on PDPH. STUDY DESIGN: The study was a multicenter, open-label study to assess the effectiveness and safety of aminophylline on PDPH...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/27378709/a-retrospective-review-of-an-epidural-blood-patch-database-the-incidence-of-epidural-blood-patch-associated-with-obstetric-neuraxial-anesthetic-techniques-and-the-effect-of-blood-volume-on-efficacy
#11
J L Booth, P H Pan, J A Thomas, L C Harris, R D'Angelo
BACKGROUND: The optimal volume of blood required to treat post-dural puncture headache remains in question. In our institution a target volume of 30mL is used for an epidural blood patch unless the patient experiences pain during injection. METHODS: The institutional database was retrospectively reviewed for epidural blood patch and delivery statistics over a 15-year period to determine if the volume of blood administered during the procedure directly correlated with the number of epidural blood patches administered...
June 3, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27349779/-accidental-dural-puncture-and-post-dural-puncture-headache-in-the-obstetric-population-eight-years-of-experience
#12
Maria Vaz Antunes, Adriano Moreira, Catarina Sampaio, Aida Faria
INTRODUCTION: Accidental dural puncture is an important complication of regional anesthesia and post-dural puncture headache remains a disable outcome in obstetric population. The aim of our study was to calculate the incidence of accidental puncture and post-puncture headache and evaluate its management among obstetric anesthesiologists. MATERIAL AND METHODS: We conducted a retrospective audit, between January 2007 and December 2014. We reviewed the record sheets of patients who experienced either accidental puncture or post-puncture headache...
April 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/27330322/post-dural-puncture-headache-retraction
#13
(no author information available yet)
[This retracts the article on p. 45 in vol. 5, PMID: 22287846.].
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27317911/demystifying-post-stroke-pain-from-etiology-to-treatment
#14
Bradly Goodman, Sridhar Vallabhaneni, Bradley Cubitt, Srinivas Mallempati
Unintended dural punctures with cerebral spinal fluid (CSF) leak are recognized as a frequent complication of spinal surgery. Although there are conservative and invasive options to treat post-operative CSF leaks, existing literature defines neither an algorithmic treatment approach nor a universally accepted standard of care. We believe that a transforaminal epidural blood patch (EBP) can serve as a minimally invasive, cost-effective option to treat post-surgical CSF leaks that do not resolve with conservative management...
June 15, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27234863/-the-difficulties-with-the-diagnosis-of-cerebral-sinus-thrombosis-of-a-young-woman-a-case-report
#15
Justyna Kaczmarek, Alicja Kozera-Kępniak, Agata Majos, Beata Kaczorowska
UNLABELLED: Cerebral venous stroke is disfunction of brain cause by thrombosis of cerebral veins or thrombosis of sinus of the dura mater. This disease represents about 0,5-1% of all strokes. Women are ill more often. There are over 100 factors which cause this disease. The most often symptoms are headache, epileptic fit, oedema of optic nerve, loss of visual acuity, speech defects. Magnetic resonance proves the diagnosis. MRI with contrast is recommended. A CASE REPORT: We show the case of a young woman taking the oral contraceptive pill whose only symptom of venous thrombosis for a few days was a strong headache...
May 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27212724/differentiating-the-headache-of-cerebral-venous-thrombosis-from-post-dural-puncture-a-headache-for-anaesthesiologists
#16
Khaja Mohideen Sherfudeen, Gurumoorthi Ramasamy, Senthil Kumar Kaliannan, Pavan Kumar Dammalapati
Cerebral venous thrombosis (CVT) is a rare complication of lumbar puncture. Occasionally, the clinical picture of CVT may mimic post-dural puncture headache (PDPH) resulting in delayed diagnosis. A case of PDPH progressing to CVT is presented and the pathophysiology, diagnostic challenges and management options discussed in this article.
May 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27053797/new-approach-to-treat-an-old-problem-mannitol-for-post-dural-puncture-headache
#17
Mohammed Meesam Rizvi, Raj Bahadur Singh, Rajnikant Tripathi
No abstract text is available yet for this article.
March 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27015690/intravenous-cosyntropin-versus-epidural-blood-patch-for-treatment-of-postdural-puncture-headache
#18
Steven R Hanling, Joseph E Lagrew, Derrick H Colmenar, Albin S Quiko, Carol A Drastol
OBJECTIVE: This study evaluated the efficacy of IV cosyntropin as an alternative to epidural blood patch (EBP) for refractory or severe post-dural puncture headache (PDPH). METHODS: Twenty-eight patients were randomized to receive EBP or intravenous cosyntropin after diagnosis with post-dural puncture headache. Efficacy was evaluated immediately after treatment and at 1 day, 3 days, and 7 days following treatment using self-reported verbal reported scores for pain and function related to their headache on a 10-point scale using two-way repeated measures analysis of variance (ANOVA) with multiple comparisons...
March 25, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27001236/ipsilateral-dural-thickening-and-enhancement-a-sign-of-isolated-cortical-vein-thrombosis-a-case-report-and-review-of-the-literature
#19
Davide Marco Croci, Diepers Michael, Timo Kahles, Ali-Reza Fathi, Javier Fandino, Serge Marbacher
BACKGROUND: Isolated cortical vein thrombosis (ICVT) being a rare condition (6% of intracranial vein thromboses), no clinical guidelines and few radiologic clues to it have been established. ICVT mostly appears in conjunction with sinus vein thromboses. ICVTs primarily occur during pregnancy and puerperium (35%). The great variability of cortical veins and difficulty identifying small occluded vessels complicate ICVT diagnosis. We present the first case of isolated ipsilateral dural thickening and enhancement as a potential radiologic sign of ICVT shown on magnetic resonance imaging...
June 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26950232/posture-and-fluids-for-preventing-post-dural-puncture-headache
#20
REVIEW
Ingrid Arevalo-Rodriguez, Agustín Ciapponi, Marta Roqué i Figuls, Luis Muñoz, Xavier Bonfill Cosp
BACKGROUND: Post-dural puncture headache (PDPH) is a common complication of lumbar punctures. Several theories have identified the leakage of cerebrospinal fluid (CSF) through the hole in the dura as a cause of this side effect. It is therefore necessary to take preventive measures to avoid this complication. Prolonged bed rest has been used to treat PDPH once it has started, but it is unknown whether prolonged bed rest can also be used to prevent it. Similarly, the value of administering fluids additional to those of normal dietary intake to restore the loss of CSF produced by the puncture is unknown...
2016: Cochrane Database of Systematic Reviews
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