Postdural puncture headache and epidural blood patch use in elderly patients

Sjövall, S.; Kokki, Merja; Turunen, Eetu; Laisalmi, Mirjam; Alahuhta, Seppo; Kokki, Hannu

doi:10.1016/j.jclinane.2015.07.006

Cited by 13 publications

(22 citation statements)

References 22 publications

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“…Nonetheless, the incidence of PDPH incurred per lead placed has clinical meaning and would be expected to closely approximate the dural puncture rate per lead placed on account of needle size. A distinctly high proportion of elderly patients which was not the case in this study (14%) may distort this relationship, but this population has now been reported to develop PDPH that not uncommonly necessitates EBP . There are also too few patient with caudal and retrograde approaches to make any firm conclusions.…”

Section: Discussionmentioning

confidence: 56%

The Incidence and Management of Postdural Puncture Headache in Patients Undergoing Percutaneous Lead Placement for Spinal Cord Stimulation

Simopoulos

Sharma

Aner

et al. 2016

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 56%

The Incidence and Management of Postdural Puncture Headache in Patients Undergoing Percutaneous Lead Placement for Spinal Cord Stimulation

Simopoulos

Sharma

Aner

et al. 2016

Neuromodulation: Technology at the Neural Interface

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“…A palavra tomografia deriva do radical tomo, que significa corte, seção ou camada, do grego tomos (um corte). No caso da TC, um sofisticado método computadorizado é usado para obter dados e transformá-los em "cortes" ou fatias transversais do corpo humano (tradução livre) 3 .…”

Section: ) Explica O Conceito De Tcunclassified

Prevalência De Hipovitaminose D No Norte Do Brasil

Pereira¹,

Aires²,

Gosch³

2020

Difusão Do Conhecimento Através Das Diferentes Áreas Da Medicina 6

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Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.

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“…If these treatments are not effective, an epidural blood patch (EBP) may be considered. Although the efficacy of EBP in the treatment of spinal headache following neuraxial anesthesia in the adult population is known, much less is known concerning EBP use in pediatric patients with cerebral palsy (CP) with ITB …”

Section: Introductionmentioning

confidence: 99%

“…Although the efficacy of EBP in the treatment of spinal headache following neuraxial anesthesia in the adult population is known, much less is known concerning EBP use in pediatric patients with cerebral palsy (CP) with ITB. 6,7 This single-center retrospective cohort study aims to describe the effectiveness of epidural blood used for management of spinal headache and CSF leak associated with ITB in children with CP.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of epidural blood patch in patients with cerebral palsy treated with intrathecal baclofen implantation

İmerci

Rogers

Dixit

et al. 2020

Pediatric Anesthesia

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Background Cerebrospinal fluid leak and postdural puncture spinal headache following intrathecal baclofen therapy are known complications. Although primary treatments are conservative, epidural blood patch is an alternative in patients with persistent and severe symptoms. Aim The purpose of this article is to review the effectiveness of epidural blood patch for the treatment of spinal headache and cerebrospinal fluid leak associated with intrathecal baclofen treatment in children with cerebral palsy. Methods Our database was reviewed for epidural blood patch in 341 pediatric patients with cerebral palsy who underwent primary intrathecal baclofen treatment from 2004 to 2018 at one institution. The number of patches, time frame of treatment, and effectiveness of the epidural blood patch were collected. All patients treated with epidural blood patch were evaluated for primary and secondary intrathecal baclofen‐related procedures, and subsequent treatment of intrathecal baclofen associated with cerebrospinal fluid leak and spinal headache. Results Twenty‐nine epidural blood patch procedures were performed on 26 patients who had received intrathecal baclofen procedures. Of these 26 patients, four had a secondary epidural blood patch. The incidence of spinal headache/cerebrospinal fluid leak was 31% (107/341), and 81/107 (76%) patients with spinal headache/cerebrospinal fluid leak responded to conservative treatments. Success rate for initial epidural blood patch was 79.3% (23/29). The second epidural blood patch was performed in four patients after failure of initial epidural blood patch. Second epidural blood patch success rate was 75% (3/4). Conclusion Spinal headache and cerebrospinal fluid leak are known complications after intrathecal baclofen treatment in children with cerebral palsy. When conservative treatments are unsuccessful, epidural blood patch can be used with confidence for these patients. In patients with ongoing symptoms, it is possible to obtain success by repeating the epidural blood patch to continue intrathecal baclofen treatment and avoid aggressive surgery.

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Postdural puncture headache and epidural blood patch use in elderly patients

Cited by 13 publications

References 22 publications

The Incidence and Management of Postdural Puncture Headache in Patients Undergoing Percutaneous Lead Placement for Spinal Cord Stimulation

The Incidence and Management of Postdural Puncture Headache in Patients Undergoing Percutaneous Lead Placement for Spinal Cord Stimulation

Prevalência De Hipovitaminose D No Norte Do Brasil

The effectiveness of epidural blood patch in patients with cerebral palsy treated with intrathecal baclofen implantation

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