Postpartum cerebral ischaemia after accidental dural puncture and epidural blood patch
Gordon RE, Moser FG, Pressman BD, et al: Resolution of pachymeningeal enhancement following dural puncture and blood patch
The severity of headache, as measured by the area under the "VRSP multiplied by days" curve, was a median of 10 in the blood patch
group, compared with 19 in the sham injection group, said Dr.
Although an epidural blood patch
causes a sudden increase in intracranial pressure, which is one of the mechanisms by which it causes immediate relief of the headache, this patient was exhibiting signs of deterioration prior to its placement.
If symptoms recur, a second blood patch
may be attempted in a similar fashion as the first.
A purely conservative approach to management consists of bed rest, oral hydration, generous caffeine intake and steroid therapy, but autologous epidural blood patch
(EBP) has emerged as the most important non-surgical management (6-8).
Recurrent postpartum seizures after epidural blood patch
Epidural blood patch
(EBP) is frequently employed to treat PDPH (1).
Bu konuya dikkat ceken ve postoperatif uzamis hava kacagi nedeniyle otolog blood patch
ile hizli ve etkili bir tedavi saglayan bazi calismacilar yontemin basarisini bildirmislerdir [4-7,9].
We treated him with a standard epidural blood patch
Autologous epidural blood patch
is used to treat the CSF leak, even when MRI has not located the exact site of the leak.
For an epidural blood patch
, 10-20 mL of autologous blood is injected into the epidural space.