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post dural spinal 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/27832615/-changes-in-spinal-mri-findings-for-epidural-fluid-collection-in-the-treatment-of-intracranial-hypotension
#2
Norimitsu Nakagawa
We have experienced 30 cases of intracranial hypotension in the last three years. Spinal MRI was performed in all cases, and 27 patients demonstrated epidural fluid collection(EFC). Of these 30 patients, 6 were treated conservatively with bed rest and hydration, and 24 were treated with epidural blood patch(EBP). Twenty-two patients were cured, 4 were improved significantly, and 4 were improved partially. We examined spinal MR images of 22 patients after 3 months of treatment. The EFC wasn't visible in 11 cases;however, residual EFC was found in the 11 remaining cases...
November 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27761049/post-spinal-headache-in-a-parturient-look-beyond-post-dural-puncture-headache
#3
Anitha Prashanth, Murali Chakravarthy
No abstract text is available yet for this article.
October 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
#4
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/27468735/finer-gauge-of-cutting-but-not-pencil-point-needles-correlate-with-lower-incidence-of-post-dural-puncture-headache-a-meta-regression-analysis
#5
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
#6
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
#7
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/27349779/-accidental-dural-puncture-and-post-dural-puncture-headache-in-the-obstetric-population-eight-years-of-experience
#8
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/27317911/demystifying-post-stroke-pain-from-etiology-to-treatment
#9
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/26939569/spontaneous-intracranial-hypotension-following-epidural-anesthesia-a-case-report
#10
X An, S Wu, F He, C Li, X Fang
We report a case of refractory spontaneous intracranial hypotension (SIH) following epidural anesthesia. In this case, typical clinical symptoms and concomitant use of regional anesthesia led to the misdiagnosis of SIH as post-dural puncture headache (PDPH). A 56-year-old man received a successful appendectomy under epidural anesthesia performed at a T11-T12 intravertebral space. About 20 h later, the patient started complaining about orthostatic headache when getting up from his lying position, then a PDPH was diagnosed...
May 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/26885298/the-effect-of-valsalva-maneuver-in-attenuating-skin-puncture-pain-during-spinal-anesthesia-a-randomized-controlled-trial
#11
Sanjay Kumar, Sujeet Kumar Singh Gautam, Devendra Gupta, Anil Agarwal, Sanjay Dhirraj, Sandeep Khuba
BACKGROUND: Valsalva maneuver reduces pain by activating sinoaortic baroreceptor reflex arc. We planned this study to evaluate the role of valsalva in attenuating spinal needle-puncture pain. METHODS: Ninety American Society of Anesthesiologists (ASA) grade I and II enrolled patients undergoing elective surgery were randomized into 3 groups of 30 each. Group I (Control): didn't blow; group II (Distraction): patients blew into rubber tube; Group III (Valsalva): blew into sphygmomanometer tube and raise mercury column up to 30 mmHg for at least 20 seconds...
February 2016: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/26818623/failure-rate-and-complications-associated-with-the-use-of-spinal-catheters-for-the-management-of-inadvertent-dural-puncture-in-the-parturient-a-retrospective-comparison-with-re-sited-epidural-catheters
#12
Michael Tien, Dionne F Peacher, Amber M Franz, Shawn Y Jia, Ashraf S Habib
Objective To report on the failure rate of spinal catheters placed following inadvertent dural puncture (IDP) compared with re-sited epidural catheters in the obstetric population. Research design and methods Patients who experienced IDP during epidural or combined spinal epidural placement with 17 or 18 gauge Tuohy needles for labor analgesia between 2003 and 2014 were identified using our post-dural puncture headache (PDPH) database. Patients were categorized into two groups: those who had spinal catheters inserted and those who had epidural catheters re-sited...
May 2016: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/26421698/complications-of-761-short-term-intrathecal-macrocatheters-in-obstetric-patients-a-retrospective-review-of-cases-over-a-12-year-period
#13
J Cohn, D Moaveni, J Sznol, J Ranasinghe
BACKGROUND: A continuous spinal catheter is a reliable alternative to standard neuraxial techniques in obstetric anesthesia. Despite the potential advantages of intrathecal catheters, they remain underutilized due to fear of infection, nerve damage or post-dural puncture headache. In our tertiary care center, intrathecal catheters are either placed intentionally in high-risk obstetric patients or following inadvertent dural puncture using a 19-gauge macrocatheter passed through a 17-gauge epidural needle...
February 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/26370291/acute-presentation-of-chiari-i-malformation-with-hemiparesis-in-a-pediatric-patient
#14
Stephen P Miranda, Kristopher T Kimmell, Howard J Silberstein
BACKGROUND: Chiari I malformation (CM-I) is defined by cerebellar tonsillar herniation through the foramen magnum. Patients typically present with chronic complaints, including headache, dizziness, and numbness, although there are few reports in the literature of pediatric patients presenting acutely with neurological deficit caused by CM-I. We report a child who presented acutely with hemiparesis and magnetic resonance imaging findings consistent with CM-I and spinal cord edema. CASE DESCRIPTION: A 3-year old boy with normal development presented with difficulty walking and increased drooling...
January 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26207266/cerebrospinal-fluid-had-come-a-long-way-since-galen-of-pergamon-130%C3%A2-200-declared-the-ventricles-to-be-reservoirs-for-the-animal-spirits
#15
Alastair Compston
No abstract text is available yet for this article.
June 2015: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/26109995/the-effect-of-early-ambulation-on-the-incidence-of-neurological-complication-after-spinal-anesthesia-with-lidocaine
#16
Reihanak Talakoub, Mohammad Golparvar, Rezvan Arshi
BACKGROUND: Transient neurological symptoms (TNS), was described in patients recovering from spinal anesthesia with lidocaine but its etiology remains unknown this study was evaluated the influence of ambulation time on the occurrence of TNSs after spinal anesthesia with lidocaine 5%. MATERIALS AND METHODS: This randomized clinical trial was conducted on 60 patients with American Society of Anesthesiologists Grades I and II, who were candidates for lower abdominal surgery in supine or lithotomy positions...
April 2015: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/25993388/the-relationship-of-body-mass-index-with-the-incidence-of-postdural-puncture-headache-in-parturients
#17
COMPARATIVE STUDY
Feyce Peralta, Nicole Higgins, Elizabeth Lange, Cynthia A Wong, Robert J McCarthy
BACKGROUND: Unintentional dural puncture is a known risk after epidural or combined spinal-epidural procedures, occurring in approximately 1% of labor epidural catheters placed in parturients with normal body habitus but may be as high as 4% in morbidly obese parturients. Anecdotal experience and limited publications suggest that an inverse relationship between body mass index (BMI) and postdural puncture headache (PDPH) may exist. We hypothesized that parturients with increased BMI have a lower incidence of PDPH than those with a lower BMI after unintentional dural puncture...
August 2015: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/25907209/neurotoxicity-of-intrathecal-6-hydroxyethyl-starch-130-0-4-injection-in-a-rat-model
#18
O Vassal, P Del Carmine, P-A Beuriat, F-P Desgranges, N Gadot, B Allaouchiche, Q Timour-Chah, A Stewart, D Chassard
Epidural blood patch is the gold standard treatment for post-dural puncture headache, although hydroxyethyl starch may be a useful alternative to blood if the latter is contraindicated. The aim of this experimental study was to assess whether hydroxyethyl starch given via an indwelling intrathecal catheter resulted in clinical or histopathological changes suggestive of neurotoxicity. The study was conducted in rats that were randomly allocated to receive three 10-μl injections on consecutive days of either saline or hydroxyethyl starch administered via the intrathecal catheter...
September 2015: Anaesthesia
https://www.readbyqxmd.com/read/25878625/ultrasound-guided-bilateral-greater-occipital-nerve-block-for-the-treatment-of-post-dural-puncture-headache
#19
Fethi Akyol, Orhan Binici, Ufuk Kuyrukluyildiz, Guldane Karabakan
BACKGROUND AND OBJECTIVE: Post-dural puncture headache (PDPH) is one of the complications frequently observed after spinal or epidural anesthesia with dural penetration. For PDPH patients who do not respond to conservative medical treatment, alternative treatments such as bilateral occipital nerve block should be considered.In this study the efficacy of bilateral occipital nerve block was retrospectively evaluated in patients with post-dural puncture headache. METHODS: Ultrasound-guided bilateral occipital nerve block was administrated in 21 patients who developed PDPH after spinal anesthesia, but did not respond to conservative medical treatment within 48 hours between January 2012 and February 2014...
January 2015: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/25864071/another-cause-of-headache-after-epidural-injection
#20
Jamil S Anwari, Abdulaziz A Hazazi
Headache is a potential complication of epidural injection. We report a patient who developed headache 5 days after a lumbar epidural steroid injection, which was not related to the epidural procedure, but caused by Duloxetine induced hyponatremia. Antidepressant drug induced headache should be considered in the differential diagnosis of post dural puncture headache.
April 2015: Neurosciences: the Official Journal of the Pan Arab Union of Neurological Sciences
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