China
Africa
Explore chapters and articles related to this topic
Anesthesia and analgesia in pregnancy
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Post-dural puncture headache can be very debilitating. While the nonpregnant patient recovering from surgery or illness may tolerate long periods of bed rest, the parturient must be able to care for an infant. Inability to maintain an erect posture may interfere with breast-feeding. Treatment of post-dural puncture headache in the obstetric patient population may therefore carry greater importance than that in the rest of the population.
Is theophylline more effective than sumatriptan in the treatment of post-dural puncture headache? A randomized clinical trial
Published in Egyptian Journal of Anaesthesia, 2021
Ahmed Mohamed Shaat, Mohamed Mahmoud Abdalgaleil
Post-dural puncture headache (PDPH) is a frequent complication of spinal anaesthesia or dural puncture and is an uncomfortable situation for both the patient and the anaesthetist. It is attributed to decreased cerebrospinal fluid (CSF) pressure leading to meningeal traction and cerebral vasodilation. [1] It is an orthostatic headache occurring within 5 days of a dural puncture, 66% starts within the first 48 hours, and about 90% within the first 72 hours. It is usually accompanied by neck pain, tinnitus, hearing changes, photophobia, and/or nausea and relieved spontaneously within 2 weeks, after normalization of CSF pressure, rarely may last for up to 6 weeks. [2] Risk factors include: young age, female sex, pregnancy, large needle size, the direction of the cutting needle bevel when puncturing the dura, multiple dural punctures, and previous history of PDPH. [3]
Spinal cord stimulation for the treatment of neuropathic pain: expert opinion and 5-year outlook
Published in Expert Review of Medical Devices, 2020
Mark N. Malinowski, Sameer Jain, Navdeep Jassal, Timothy Deer
The two broad complications classes associated with spinal cord stimulation are biological and hardware-related complications. Biological complications can be further segregated into neurological, infectious, hematological, and habituation/tolerance. Hardware-related complications include hardware-related pain, lead migration, and painful stimulation. Neurological complications may range from mild to devastating. Neurological complications include dural puncture and post-dural puncture headache, traumatic nerve and/or spinal cord injury and paralysis. Hematological and infectious complications share similar disastrous effects, at least in the early stages. Compression of the spinal cord from mass effect of a hematoma or abscess may will likely lead to cord and/or nerve root ischemia. Infectious causes present with similar symptoms, but presentation will also be supported by clinical evidence for infection such as constitutional symptoms and meningeal symptoms, and blood work changes such as elevated erythrocyte sedimentation rate, inflammatory markers (e.g., C-reactive protein) and elevated white blood cell count.
Improved spinal MRI findings after epidural blood patch administration: A pediatric case
Published in Egyptian Journal of Anaesthesia, 2018
Güldane Karabakan, Anıl Özgür, Çetin Okuyaz, Hüseyin Utku Yıldırım, Şebnem Rumeli Atıcı
Post-dural puncture headache is rare in pediatric population, compared to adults. The incidence of post-dural puncture headache is reported to be 2–15% in children [9]. The treatment options are the same as for adult patients. However, there is limited data on the administration of epidural blood patch in children. In this paper, we report improved spinal MRI findings in a pediatric case of post-dural puncture headache treated by epidural blood patch administration.