Epidural dextran 40 patch for postdural puncture headache

Epidural dextran 40 patch for postdural puncture headache

We report a case where two consecutive blood patches failed to relieve postdural puncture headache and hearing loss following inadvertent dural puncture. Initial conservative therapy with analgesics, fluids and later two blood patches had no effect and the patient's symptoms only resolved after...

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Bibliographic Details
Published in:Anaesthesia Vol. 52; no. 9; pp. 886 - 888
Main Authors: Reynvoet, M. E. J., Cosaert, P. A. J. M., Desmet, M. F. R., Plasschaert, S. M.
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Science Ltd 01-09-1997
Blackwell
Subjects:
Adult
Anaesthetic technique, regional; epidural
Anesthesia
Anesthesia, Epidural - adverse effects
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Patch, Epidural
Complications; postdural puncture headache
Dextrans - therapeutic use
Dura Mater - injuries
Female
Headache - etiology
Headache - therapy
Hearing Loss, Bilateral - etiology
Hearing Loss, Bilateral - therapy
Humans
Local anesthesia. Pain (treatment)
Medical sciences
Pharmacology; dextran 40
Plasma Substitutes - therapeutic use
Human
Headache
Nervous system diseases
Injection
Colloid
Dextran
Case study
Plasma substitute
Regional anesthesia
Pain
Treatment
Extradural administration
Young adult
Complication
Female
Neurological disorder
Online Access:Get full text
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Description
Summary:We report a case where two consecutive blood patches failed to relieve postdural puncture headache and hearing loss following inadvertent dural puncture. Initial conservative therapy with analgesics, fluids and later two blood patches had no effect and the patient's symptoms only resolved after an epidural dextran 40 patch performed 8 weeks after the dural tap. Two months later, the patient is still asymptomatic
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1997.183-az0320.x