Arachnoiditis, a complication of epidural blood patch for the treatment of low‐pressure headache: A case report and systematic review

2021 ◽  
Author(s):  
Linda A. Villani ◽  
Kathleen B. Digre ◽  
Melissa M. Cortez ◽  
Christina Bokat ◽  
Ulrich A. Rassner ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Epidural Blood Patch ◽  
Low Pressure ◽  
Blood Patch ◽  
Low Pressure Headache ◽  
Pressure Headache

Epidural Blood Patch

2018 ◽  
Author(s):  
Kenneth D. Candido ◽  
Teresa M. Kusper ◽  
Bora Dinc ◽  
Nebojsa Nick Knezevic
Keyword(s):  
Drug Delivery Systems ◽  
Dural Puncture ◽  
Epidural Blood Patch ◽  
Post Dural Puncture Headache ◽  
Blood Patch ◽  
Csf Leakage ◽  
Pressure Dynamics ◽  
Diagnostic Lumbar Puncture ◽  
Low Pressure Headache ◽  
Pressure Headache

Post-dural-puncture headache (PDPH) is a consequence of neuraxial anesthesia, diagnostic lumbar puncture, intrathecal drug delivery systems, or any other technique involving dural trespass. The spinal headache results from a dural puncture that leads to cerebrospinal fluid (CSF) leakage from the subarachnoid space to the epidural space, culminating in intracranial hypotension and development of a low-pressure headache. A key element of PDPH is an increase in pain severity upon a change in position from supine to upright, which corresponds to a gravity-induced influence on CSF pressure dynamics. Age, sex, and design of the needle used correlate with the risk of headache. Sometimes, the headache resolves spontaneously. At other times, conservative treatment or aggressive measures are required to terminate the pain. An autologous epidural blood patch is an established way preventing or treating PDPH. A careful history must be obtained to identify other causes of headache before the blood patch is attempted.

Ringing in the Ears and Pain in the Head

2017 ◽  
Author(s):  
M. Angela O’Neal
Keyword(s):  
Headache Disorder ◽  
Clinical History ◽  
Low Pressure ◽  
Patient Specific ◽  
Prior History ◽  
Operator Experience ◽  
Blood Patch ◽  
History Of ◽  
Low Pressure Headache ◽  
Pressure Headache

The case illustrates the classic clinical features of a low-pressure headache. The pathophysiology results from the loss of cerebrospinal fluid (CSF). This causes sagging of the brain, stretching of the bridging veins, and venodilatation. The clinical history is of a headache that is worse in the upright position and remits when the patient is supine. Due to the connection of the perilymphatic fluid and CSF, postural tinnitus is a frequent symptom. Risk factors for low-pressure headache include those that are patient-specific: female sex, low body mass index, prior history of a low-pressure headache, and an underlying headache disorder. Operator-specific factors that decrease the risk of a postdural puncture headache (PDPH) include greater operator experience and the use of a smaller-gauge, non-cutting lumbar puncture needle. The best treatment for low-pressure headache is a blood patch with resolution in over 90% of low-pressure headaches.

scholarly journals Peripartum Isolated Cortical Vein Thrombosis in a Mother with Postdural Puncture Headache Treated with an Epidural Blood Patch

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Etienne Laverse ◽  
Sarah Cader ◽  
Rajith de Silva ◽  
Sanjiv Chawda ◽  
Satish Kapoor ◽  
...  
Keyword(s):  
Epidural Blood Patch ◽  
Csf Leak ◽  
Postdural Puncture Headache ◽  
Mri Scan ◽  
Cortical Vein ◽  
Vein Thrombosis ◽  
Cortical Vein Thrombosis ◽  
Blood Patch ◽  
Low Pressure Headache ◽  
Pressure Headache

A 32-year-old woman presented with low pressure headache 3 days after delivery of her baby. An assessment of postdural puncture headache was made. This was initially treated with analgesia, caffeine, and fluids for the presumed cerebrospinal fluid (CSF) leak. The woman was readmitted two days after her hospital discharge with generalised seizures. A brain scan showed features of intracranial hypotension, and she was treated for CSF leak using an epidural blood patch. Her symptoms worsened and three days later, she developed a left homonymous quadrantanopia. An MRI scan confirmed a right parietal haematoma with evidence of isolated cortical vein thrombosis (ICVT).

Association of superficial siderosis of the central nervous system and low pressure headache: a case report

2007 ◽  
Vol 34 (S 2) ◽  
Author(s):  
DN Holle ◽  
IE Sandalcioglu ◽  
ER Gizewski ◽  
S Asgari ◽  
D Timmann-Braun ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Low Pressure ◽  
Superficial Siderosis ◽  
The Central Nervous System ◽  
Low Pressure Headache ◽  
Pressure Headache

Low-pressure CSF shunt malfunction without preceding lumbar puncture treated by epidural blood patch: report of 2 cases

2021 ◽  
Vol 37 (3) ◽  
pp. 973-976
Author(s):  
Adeline Kim ◽  
Doyle Lim ◽  
Joseph Piatt
Keyword(s):  
Lumbar Puncture ◽  
Epidural Blood Patch ◽  
Low Pressure ◽  
Shunt Malfunction ◽  
Csf Shunt ◽  
Blood Patch

Spontaneous Intracranial Hypotension Treated with CT-guided Cervical Epidural Blood Patch - A case report -

2007 ◽  
Vol 52 (1) ◽  
pp. 115 ◽  
Author(s):  
Jin Hye Min ◽  
Young Soon Choi ◽  
Yong Ho Kim ◽  
Woo Kyung Lee ◽  
Yong Kyung Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Intracranial Hypotension ◽  
Epidural Blood Patch ◽  
Spontaneous Intracranial Hypotension ◽  
Ct Guided ◽  
Blood Patch

scholarly journals Epidural Blood Patch for Postdural Puncture Headache in a Patient With Coronavirus Disease 2019: A Case Report

2020 ◽  
Vol 14 (10) ◽  
pp. e01303 ◽  
Author(s):  
Mark C. Norris ◽  
Albert Kalustian ◽  
Seroos Salavati
Keyword(s):  
Case Report ◽  
Epidural Blood Patch ◽  
Postdural Puncture Headache ◽  
Blood Patch
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