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Postdural Puncture Headache (postdural + puncture_headache)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Sumatriptan in Patients With Postdural Puncture Headache

HEADACHE, Issue 4 2000
Neil Roy Connelly MD
Objective.,To determine the efficacy of sumatriptan in the management of patients presenting for an epidural blood patch for the management of postdural puncture headache. Background.,Postdural puncture headache can be quite severe, requiring invasive therapy (ie, epidural blood patch). Sumatriptan has been used successfully in patients with postdural puncture headache, however, its use has not been investigated in a controlled fashion. Methods.,Ten patients with postdural puncture headache presenting for an epidural blood patch were given either saline or sumatriptan subcutaneously. The severity of the headache was evaluated at baseline and 1 hour following injection. If the headache remained severe, an epidural blood patch was performed. Results.,Only one patient in each group received relief from the injection. Conclusions.,We do not recommend sumatriptan in patients who have exhausted conservative management of postdural puncture headache. [source]

Postdural Puncture Headache in Complex Regional Pain Syndrome: A Retrospective Observational Study

PAIN MEDICINE, Issue 8 2009
Alexander G. Munts MD
ABSTRACT Objective., To describe the unusual course of postdural puncture headache (PDPH) after pump implantation for intrathecal baclofen (ITB) administration in patients with complex regional pain syndrome (CRPS)-related dystonia. Design., Case series based on data collected from 1996 to 2005. Setting., Movement disorders clinic, university hospital. Patients., A total of 54 patients with CRPS-related dystonia who were treated with ITB. Results., A high incidence (76%) and prolonged course (median 18 days, range 2 days to 36 months) of PDPH was found. Radionuclide studies performed in two patients with long-lasting symptoms (12,16 months) did not reveal cerebrospinal fluid (CSF) leakage. In patients without signs of CSF leakage (N = 38), epidural blood patches administered in 24 patients were effective in 54%, while ketamine infusions administered in six patients were effective in 67%. Conclusions., Our observations may suggest that other mechanisms besides intracranial hypotension play a role in the initiation and maintenance of PDPH in CRPS and stimulate new directions of research on this topic. [source]

Sumatriptan in Patients With Postdural Puncture Headache

Postdural puncture headache in children

PEDIATRIC ANESTHESIA, Issue 4 2003
S. Lewis
No abstract is available for this article. [source]

Spontaneous Intracranial Hypotension Successfully Treated by Epidural Patching With Fibrin Glue

HEADACHE, Issue 10 2000
Masaki Kamada MD
We report a case of spontaneous intracranial hypotension due to a cerebrospinal fluid leak at the C2 level, which was successfully treated by epidural fibrin glue patching. Epidural blood patching was performed twice, first with 6 mL of autologous blood and then with 10 mL, but the intracranial hypotension was unresponsive. Although successful treatment of postdural puncture headache and persistent leak after intrathecal catheterization by epidural patching with fibrin glue has been reported, fibrin glue has not been previously applied in spontaneous intracranial hypotension. Our observation suggests that epidural patching with fibrin glue should be considered in patients with spontaneous intracranial hypotension, if epidural blood patching fails to resolve the symptoms. [source]

Sumatriptan for Headache Caused by Head and Neck Cancer

HEADACHE, Issue 9 2000
Paolo L. Manfredi MD
The use of sumatriptan for the treatment of migraine and cluster headache is well established. Sumatriptan has also been reported to be effective for the treatment of postdural puncture headache, postictal headache, and headache related to intravenous immunoglobulin infusion. We report two patients with headache caused by locally invasive head and neck cancer relieved by oral sumatriptan. [source]

Sumatriptan in Patients With Postdural Puncture Headache

Postdural Puncture Headache in Complex Regional Pain Syndrome: A Retrospective Observational Study

Post dural puncture headache in a pediatric patient with idiopathic intracranial hypertension

PEDIATRIC ANESTHESIA, Issue 9 2005
OLUBUKOLA O. NAFIU MD FRCA
Summary We describe the occurrence of postdural puncture headache (PPDH) in an adolescent with idiopathic intracranial hypertension (IIH) and its successful management with an epidural blood patch. PPDH is a very rare occurrence in patients with intracranial hypertension and is described as a paradoxical situation in the literature. There are only two previous case reports (in adults) of the possible association. A 15-year-old obese patient with a diagnosis of IIH had an uneventful diagnostic spinal tap using a 22G Quincke needle in the pediatric emergency department but returned 24 h later with PPDH. After a failed trial of conservative management, she had an uneventful but curative epidural blood patch with 15 ml of autologous venous blood and was able to return to school the day after the blood patch. Follow-up review by her neuro-ophthalmologist shows resolution of her headaches, considerable improvement in her visual field defect and resolution of papilledema. This is the first report of PPDH and its successful management with an epidural blood patch in a pediatric patient with IIH. [source]

The management of a postdural puncture headache in a child

PEDIATRIC ANESTHESIA, Issue 6 2003
Andrew Liley FRCA
Summary We present a case of an 11-year old girl who underwent an elective pyeloplasty and had an epidural catheter placed for per- and postoperative analgesia. Postoperatively she developed a postural headache and severe nausea, and a diagnosis of postdural puncture headache (PDPH) was made. Her symptoms failed to respond to conservative management. An epidural blood patch was performed with immediate and complete resolution of her symptoms. We present this case to highlight the occurrence of PDPH in children and to outline the considerations for management. [source]

Anesthesia-Related Complications in Living Liver Donors: The Experience from One Center and the Reporting of One Death

AMERICAN JOURNAL OF TRANSPLANTATION, Issue 10 2008
S. Ozkardesler
Living donor liver transplantation has become an alternative therapy for patients with end-stage liver disease. Donors are healthy individuals and donor safety is the primary concern. The objective of this study was to evaluate the anesthetic complications and outcomes for our donor cases; we report one death. The charts of the patients who underwent donor hepatectomy from February 1997 to June 2007 were retrospectively reviewed. Right hepatectomy (resection of segments 5,8) was done in 101 donors, left lobectomy (resection of segments 2,3) in 11 donors, and left hepatectomy (resection of segments 2,4) in one donor. Minor anesthetic complications were shoulder pain, pruritus and urinary retention related to epidural morphine, and major morbidity included central venous catheter-induced thrombosis of the brachial and subclavian vein, neuropraxia, foot drop and prolonged postdural puncture headache. One of 113 donors died from pulmonary embolism on the 11th postoperative day. This procedure has some major risks related to anesthesia and surgery. Although careful attention will lower complication rate, we have to keep in mind that the risks of donor surgery will not be completely eliminated. [source]

Sphenopalatine ganglion block for postdural puncture headache

ANAESTHESIA, Issue 5 2009
S. Cohen
No abstract is available for this article. [source]

Spinal opioids and the prevention of postdural puncture headache

ANAESTHESIA, Issue 1 2009
R. A. Martlew
No abstract is available for this article. [source]