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Targeted Transforaminal Epidural Blood Patch for Postdural Puncture Headache in Patients with Postlaminectomy Syndrome.
Case Rep Neurol Med
June 2019
Department of Anesthesiology and Pain Medicine, Saint Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon 16247, Republic of Korea.
Postdural puncture headache is a leak of cerebrospinal fluid that lowers intracranial pressure and usually presents as a positional headache. If conservative treatments are not successful, the epidural blood patch is the gold standard of the treatment for dural puncture. The interlaminar approach is the most commonly used technique for an epidural blood patch.
View Article and Find Full Text PDFTreating Therapy-Resistant Headache After Aneurysmal Subarachnoid Hemorrhage with Acupuncture.
Neurocrit Care
October 2019
Department of Anesthesiology, University Medicine of Greifswald, Sauerbruchstrasse, 17475, Greifswald, Germany.
Introduction: Subarachnoid haemorrhage (SAH) is usually associated with severe headache, whereas the options of pharmacological analgesia are restricted. Acupuncture is a promising method in treatment of headaches associated with meningeal sensitivity or irritation, such as migraine or post-dural puncture headache.
Case Report: We report on 3 patients, who suffered severe headache due to aneurysmal SAH, and received acupuncture when pharmacological measures were exhausted.
Review of the Alternatives to Epidural Blood Patch for Treatment of Postdural Puncture Headache in the Parturient.
Anesth Analg
April 2017
From the Icahn School of Medicine at Mount Sinai, New York, New York.
Article Synopsis
- Labor neuraxial anesthesia often leads to postdural puncture headache, the most frequent complication.
- The article aims to evaluate alternative treatments for this headache, specifically for patients who cannot or choose not to receive an epidural blood patch.
- It reviews various therapies, including oral and intravenous options, non-blood-containing epidural injections, interventional pain modalities, and acupuncture.
Acupuncture for the Management of Postdural Puncture Headache: A Case Report.
Glob Adv Health Med
January 2016
Osher Center for Integrative Medicine, University of California San Francisco (Dr Chao), United States.
Postdural puncture headache (PDPH) is a recognized complication of neuraxial anesthesia. This case report documents 1 patient who developed PDPH following epidural anesthesia for postoperative pain control. The patient declined conventional treatments, including an epidural blood patch and intravenous caffeine.
View Article and Find Full Text PDFAcupuncture for treatment of therapy-resistant post-dural puncture headache: a retrospective case series.
Br J Anaesth
November 2013
Greifswald, Germany.
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