Epidural blood patch

Cooper, G M

doi:10.1046/j.1365-2346.1999.00457.x

Cited by 10 publications

(6 citation statements)

References 54 publications

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“…Headaches due to other causes do not alter intensity during these maneuvers. 5,23 Standard EBP procedure was performed on our patient eight month after the spinal anaesthesia. Patient reported no headaches at 2 hours post EBP and the lower back "heaviness" reported after injections of 15cc of blood resolved.…”

Section: Discussionmentioning

confidence: 99%

Epidural blood patch for an eight-months’ history of post-dural puncture headache: case report

Mumba¹

2018

JACCOA

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Long-term complications due to spinal anaesthesia though rare have devastating implications as far as quality of life is concerned. One such complication is postdural puncture headache ((PDPH). The objective of this report is to review the diagnosis, pathophysiology of PDPH and give a brief description of the therapeutic options available. A 31-year-old healthy female was referred to our chronic pain clinic with complaints of headache for eight months following spinal anesthesia. She reported that simple analgesics and supine position provided partial pain relief. The headaches without these measures were incapacitating. An epidural blood patch was performed with complete resolution of the headache. At two and four weeks reviews she reported no headache and was discharged from the pain clinic without any complaints. This case demonstrated that the epidural blood patch is one of the armaments at the disposal of the anesthetists for effective treatment of chronic post-dural puncture headache.

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Section: Discussionmentioning

confidence: 99%

Epidural blood patch for an eight-months’ history of post-dural puncture headache: case report

Mumba¹

2018

JACCOA

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“…PDPH is typically frontal or occipital, "burning," and radiates into the neck and shoulders (5). Pain, though, may be in any location in the head or neck (26,27). Isolated back pain may infrequently be the presenting complaint (28).…”

Section: Symptomsmentioning

confidence: 99%

“…If this component is not present, diagnosis of PDPH should be reconsidered. PDPH is often associated with nausea and vomiting, photophobia, diplopia, low back pain, neck stiffness, dizziness, tinnitus, hearing changes, and cranial nerve palsies (27)(28)(29)(30). PDPHs can be quite variable in their severity and duration.…”

Section: Symptomsmentioning

confidence: 99%

Lumbar Puncture and Post-Dural Puncture Headaches: Implications for the Emergency Physician

Frank¹

2008

The Journal of Emergency Medicine

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“…When PDPH occurs, several conservative treatments are commonly used, such as hydration, bed rest, and administration of acetaminophen or caffeine. For patients who do not respond to conservative treatment, EBP is the gold standard [5, 8]. The EBP is performed by injecting the patient's autologous blood into the epidural space around the site of suspected CSF leakage.…”

Section: Discussionmentioning

confidence: 99%

“…Of the two approaches to the epidural space, an interlaminar approach is almost always used for the EBP [8, 11]. There are only a few reported cases using the transforaminal approach for EBP.…”

Section: Discussionmentioning

confidence: 99%

Targeted Transforaminal Epidural Blood Patch for Postdural Puncture Headache in Patients with Postlaminectomy Syndrome

Choi

Kang

Joo

et al. 2019

Case Reports in Neurological Medicine

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Postdural puncture headache is a leak of cerebrospinal fluid that lowers intracranial pressure and usually presents as a positional headache. If conservative treatments are not successful, the epidural blood patch is the gold standard of the treatment for dural puncture. The interlaminar approach is the most commonly used technique for an epidural blood patch. This case report describes a patient who was treated with a transforaminal epidural blood patch for postdural puncture headache following an acupuncture procedure on his lower back after two epidural blood patches using an interlaminar approach had failed. The patient underwent an acupuncture therapy for management of chronic low back pain due to postlaminectomy syndrome. After the procedure, the patient had a severe headache and the conservative treatment was not effective. The two interlaminar epidural blood patches at the L2–3 level and at the L3–4 level were failed. We performed transforaminal epidural blood patch at the L3–4 and L4–5 levels on the left side, the site of leakage in the MRI myelogram. His symptoms finally subsided without complication. This case demonstrates that targeted transforaminal epidural blood patch is a therapeutic option for the treatment of postdural puncture headache when epidural blood patch using an interlaminar approach is ineffective.

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Epidural blood patch

Cited by 10 publications

References 54 publications

Epidural blood patch for an eight-months’ history of post-dural puncture headache: case report

Epidural blood patch for an eight-months’ history of post-dural puncture headache: case report

Lumbar Puncture and Post-Dural Puncture Headaches: Implications for the Emergency Physician

Targeted Transforaminal Epidural Blood Patch for Postdural Puncture Headache in Patients with Postlaminectomy Syndrome

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