scholarly journals Acute Subdural Haematoma in the Presence of an Intrathecal Catheter Placed for the Prevention of Post-Dural Puncture Headache

2010 ◽  
Vol 38 (5) ◽  
pp. 939-941 ◽  
Author(s):  
S. Sharma ◽  
R. Halliwell ◽  
M. Dexter ◽  
Y. Mudaliar ◽  
K. Yee
Keyword(s):  
Subdural Haematoma ◽  
Dural Puncture ◽  
Acute Subdural Haematoma ◽  
Intrathecal Catheter ◽  
Post Dural Puncture Headache

scholarly journals RISK FACTORS, CLINICAL MANIFESTATION AND PREVENTION OF POST-DURAL PUNCTURE HEADACHE IN THE OBSTETRIC FIELD

2021 ◽  
Vol 31 (5) ◽  
pp. 73-76
Author(s):  
Matas Kalinauskas ◽  
Mantilė Juotkutė
Keyword(s):  
Risk Factors ◽  
Dural Puncture ◽  
Fluid Pressure ◽  
Intrathecal Catheter ◽  
Post Dural Puncture Headache ◽  
Blood Patch ◽  
Accidental Dural Puncture ◽  
History Of ◽  
Prospective Trials ◽  
Low Body Mass Index

Introduction: Over the past decades, the number of wo­men choosing to have epidural analgesia or undergoing spinal anesthesia during labor is steadily increasing. Con­sequently, a risk for complications is increasing. Post-dural puncture headache (PDPH) is considered one of the most common complication following accidental dural puncture (ADP). Sources and a method: A literature overview were con­ducted via search engine “PubMed (Medline)” and “Goo­gle Scholar”. Randomized controlled trials, meta – analy­sis, retrospective, prospective trials and systemic reviews on PDPH were selected. Aim of the review: To evaluate the most commonly des­cribed risk factors, clinical presentation and prevention of PDPH in the obstetric field. Results: The occurrence of ADP during neuraxial anest­hesia reported in the literature is relatively small – 0,1 – 1,5%. PDPH is a potentially expected complication after any lumbar punction. It presents as a headache within five days of the puncture due to low cerebrospinal fluid pressure. The pain is often bilateral, located in the frontal or occipital areas. Symptoms, such as vision and hearing impairment, neck pain and nausea might follow. Usually, the symptoms fade out spontaneously within two weeks. Risk factors for PDPH are modifiable (technique of the injection and anesthesiologist’s skills) and non-modifia­ble (pregnancy, low body mass index (BMI), dehydra­tion, history of PDPH). The goal of preventing PDPH is to identify and correct the risk factors associated with this condition. Main described means being equipment and experience, conservative measures, administration of epidural morphine, intravenous dexamethasone or co­syntropin, epidural blood patch and intrathecal catheter. Conclusions: 1. PDPH manifests as an orthostatic hea­dache with or without ocular, neural, hearing and other symptoms. 2. Young pregnant women with low BMI are more likely to suffer from PDPH. 3. PDPH preven­tion consists of risk factor correction and proper medi­cal techniques.

scholarly journals Subdural haematoma after spinal anaesthesia – do we always need brain computed tomography in post-dural puncture headache? Letter to the Editor

2017 ◽  
Vol 62 (3) ◽  
Author(s):  
Dariusz Kotlęga ◽  
Anna Boczar-Wójcik ◽  
Barbara Peda ◽  
Przemysław Nowacki
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Spinal Anaesthesia ◽  
Subdural Haematoma ◽  
Dural Puncture ◽  
Post Dural Puncture Headache ◽  
Brain Computed Tomography ◽  
Letter To The Editor

Dear Editor-in-Chief, We would like to indicate a disorder that is very rare, may easily be misdiagnosed, and at the same time provokes diagnostic doubts. We will try to answer the question of whether all patients with post-dural puncture headache have to undergo a brain computed tomography (CT) scan (...)

scholarly journals Prophylactic Intrathecal Morphine and Prevention of Post–Dural Puncture Headache

2020 ◽  
Vol 132 (5) ◽  
pp. 1045-1052 ◽  
Author(s):  
Feyce M. Peralta ◽  
Cynthia A. Wong ◽  
Nicole Higgins ◽  
Paloma Toledo ◽  
Mary Jane Jones ◽  
...  
Keyword(s):  
Cranial Nerve ◽  
Dural Puncture ◽  
Epidural Blood Patch ◽  
Intrathecal Morphine ◽  
Saline Group ◽  
Morphine Group ◽  
Intrathecal Catheter ◽  
Double Blind ◽  
Post Dural Puncture Headache ◽  
Blood Patch

Abstract Background Prophylactic epidural morphine administration after unintentional dural puncture with a large-bore needle has been shown to decrease the incidence of post–dural puncture headache. The authors hypothesized that prophylactic administration of intrathecal morphine would decrease the incidence of post–dural puncture headache and/or need for epidural blood patch after unintentional dural puncture. Methods Parturients with an intrathecal catheter in situ after unintentional dural puncture with a 17-g Tuohy needle during intended epidural catheter placement for labor analgesia were enrolled in this randomized, double-blind trial. After delivery, subjects were randomized to receive intrathecal morphine 150 µg or normal saline. The primary outcome was the incidence of post–dural puncture headache. Secondary outcomes included onset, duration, and severity of post–dural puncture headache, the presence of cranial nerve symptoms and the type of treatment the patient received. Results Sixty-one women were included in the study. The incidence of post–dural puncture headache was 21 of 27 (78%) in the intrathecal morphine group and 27 of 34 (79%) in the intrathecal saline group (difference, −1%; 95% CI, −25% to 24%). There were no differences between groups in the onset, duration, or severity of headache, or presence of cranial nerve symptoms. Epidural blood patch was administered to 10 of 27 (37%) of subjects in the intrathecal morphine and 11 of 21 (52%) of the intrathecal saline group (difference 15%; 95% CI, −18% to 48%). Conclusions The present findings suggest that a single prophylactic intrathecal morphine dose of 150 µg administered shortly after delivery does not decrease the incidence or severity of post–dural puncture headache after unintentional dural puncture. This study does not support the clinical usefulness of prophylactic intrathecal morphine after an unintentional dural puncture. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

Spontaneous resolution of an acute subdural haematoma

2002 ◽  
Vol 16 (6) ◽  
pp. 609-610 ◽  
Author(s):  
R. J. Edwards ◽  
G. W. Britz ◽  
G. R. Critchley
Keyword(s):  
Subdural Haematoma ◽  
Spontaneous Resolution ◽  
Acute Subdural Haematoma
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