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epidural blood patch

   Also found in: Wikipedia 0.02 sec.
epidural blood patch (EBP),
a treatment for postdural puncture headache in which 15 to 20 mL of a patient's autologous blood is injected into the epidural space at or near the location of a dural puncture. The volume injected displaces cerebrospinal fluid (CSF) from the lumbar CSF space into the area surrounding the brain, often yielding immediate relief. When the blood clots, it seals the dural puncture, prohibiting further leakage of CSF from the subarachnoid space.


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This report details an immediate improvement in subjective and objective hearing after the administration of an epidural blood patch to a patient with a hearing loss that had developed following a lumbar puncture.
Severe PDPH was defined as a headache that resulted in the patients being unable to perform his or her daily activities or being confined to bed and requiring oral or IV analgesic and/or epidural blood patch for treatment.
In a study of patients undergoing magnetic resonance imaging after epidural blood patch procedure to manage postdural puncture headache, Vakharia et a112 demonstrated that a 20-ml epidural blood patch would produce a hematoma in the posterior epidural space.
 
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