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Epidural blood patch: A narrative review
Anaesthesia Critical Care & Pain Medicine, 2022The epidural blood patch (EBP) is one of the most effective treatments for intracranial hypotension. Anesthesiologists are familiar with performing EBPs for the treatment of dural puncture-associated intracranial hypotension following spinal anesthesia, complicated epidural analgesia, and diagnostic lumbar puncture. Increasingly, EBPs are used to treat
Paul J. Zetlaoui +2 more
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REGIONAL ANALGESIA FOLLOWING EPIDURAL BLOOD PATCH
Survey of Anesthesiology, 1975During the period November 1972 through October 1974, 118 epidural blood patch procedures were performed for severe postlumbar-puncture cephalgia. Subsequently, in a period varying from 105 to 380 days, three patients, two of whom had twice undergone epidural blood patch, were readmitted for either surgical operation or delivery.
E, Abouleish +4 more
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2018
Post-dural-puncture headache (PDPH) is a consequence of neuraxial anesthesia, diagnostic lumbar puncture, intrathecal drug delivery systems, or any other technique involving dural trespass. The spinal headache results from a dural puncture that leads to cerebrospinal fluid (CSF) leakage from the subarachnoid space to the epidural space, culminating in ...
Kenneth D. Candido +3 more
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Post-dural-puncture headache (PDPH) is a consequence of neuraxial anesthesia, diagnostic lumbar puncture, intrathecal drug delivery systems, or any other technique involving dural trespass. The spinal headache results from a dural puncture that leads to cerebrospinal fluid (CSF) leakage from the subarachnoid space to the epidural space, culminating in ...
Kenneth D. Candido +3 more
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2014
Autologous epidural blood patch (EBP) is a useful technique that may be employed for treatment of postural headaches resulting from cerebrospinal fluid (CSF) leak. The main indications for EBP are postdural puncture headache or headache associated with spontaneous intracranial hypotension.
Sameh Michel Hakim, Samer N. Narouze
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Autologous epidural blood patch (EBP) is a useful technique that may be employed for treatment of postural headaches resulting from cerebrospinal fluid (CSF) leak. The main indications for EBP are postdural puncture headache or headache associated with spontaneous intracranial hypotension.
Sameh Michel Hakim, Samer N. Narouze
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Epidural Blood Patch and Acute Varicella
Anesthesia & Analgesia, 2004We present the case of a 38-yr-old woman who required an epidural blood patch in the context of acute varicella (chickenpox). The unique risks in this case include the possible triggering of central nervous system complications after the introduction of viremic blood into the epidural or intrathecal space.
David P, Martin +2 more
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Pneumocephalus following an epidural blood patch
Acta Anaesthesiologica Scandinavica, 2003Pneumocephalus is a rare complication of epidural block. We report a case of pneumocephalus complicating an epidural blood patch performed 3 days after unintentional dural puncture. Pneumocephalus may occur during an epidural blood patch procedure, even if the epidural needle tip is within the epidural space.
T, Kawamata +5 more
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Subarachnoid Pressure with Epidural Blood “Patch”
Regional Anesthesia: The Journal of Neural Blockade in Obstetrics, Surgery, & Pain Control, 1979Subarachnoid pressure was monitored continuously during and after epidural blood “patch” in eight patients with postlumbar-puncture headache. Epidural blood patch (15 ml) was associated with more than a threefold increase in subarachnoid pressure immediately following the epidural injection.
Dennis W. Coombs, Donald Hooper
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Intracranial hypertension following epidural blood patch
Neurology, 2003An epidural blood patch (EBP) is the standard treatment of postural headache resulting from a spontaneous or post–lumbar puncture–induced dural tear with persistent leakage of CSF into the epidural space.1 The EBP procedure is widely thought to be safe because of the development of methods that are believed to reliably identify the epidural space, thus
Dean M, Cestari, Joseph F, Rizzo
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Subdural Hematoma After an Epidural Blood Patch
Obstetric Anesthesia Digest, 2012We report the case of a 37-year-old postpartum patient who developed a contained subacute spinal subdural hematoma causing mass effect on the cauda equina and severe spinal stenosis after undergoing an epidural blood patch for postdural puncture headache. Recovery occurred following administration of oral steroids.
L A, Verduzco, S W, Atlas, E T, Riley
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