Unintentional dural puncture

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Bilateral sixth cranial nerve palsy after unintentional dural puncture.

PURPOSE Bilateral sixth nerve palsy is a known though uncommon complication following dural puncture. The recommended treatment consists of hydration and alternate monocular occlusion. The value and the timing of an epidural blood patch (EBP) for sixth nerve palsy remains controversial as some authors have demonstrated benefits in performing an EBP early in course of the nerve palsy whereas oth...

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Post-Dural Puncture Headache

August Bier’s first report of spinal anesthesia in August 1898 impressively described the development of a poste dural puncture headache (PDPH) (1). When asked for complications of spinal anesthesia today, patients often respond with PDPH. PDPH is defined as a constant heado ache that worsens in the sitting or upright position folglowing lumbar puncture (LP). Its incidence after spinal anesthes...

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Dural puncture and headache

and employing authorities are being asked to review their consultant requirements to achieve a consultant led service. The increase in the numbers of consultants previously recommended by the British Paediatric Association4 is supported in the report; this will mean a further increase in training grades. In future, training in paediatrics at all levels will need to include work in hospitals and...

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Post-dural puncture cephalgia.

Post-dural puncture cephalgia is a complication often encountered by the anesthesia practitioner. Disruption in the continuity of the dura incurred during diagnostic procedures (such as myelography or cerebral spinal fluid harvesting) also increases the number of patients requiring treatment for severe to incapacitating cephalgia. The anesthetist's ability to differentiate, evaluate, and assist...

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Post-dural puncture headache

Postdural puncture headache (PDPH) has been a problem for patients, following dural puncture, since August Bier reported the first case in 1898. His paper discussed the pathophysiology of low-pressure headache resulting from leakage of cerebrospinal fluid (CSF) from the subarachnoid to the epidural space. Clinical and laboratory research over the last 30 years has shown that use of small-gauge ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1988

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1988.tb04168.x