Introduction: Inflammation is one of the probable causes of post-dural puncture headache (PDPH); logically, therefore, anti-inflammatory drugs such as dexamethasone can reduce the headache. The aim of this study was to evaluate the effect of intravenous dexamethasone 8 mg on PDPH in cesarean surgery. Methods: This randomized double-blind clinical study was conducted on 104 patients aged from 1...

Isolated abducens nerve palsy following lumbar puncture is a very rare condition. In this case we discussed the probable causes of abducens nerve palsy and review the mechanism of action in anatomical relevant literature. A 53-year old hypertensive female patient with a saccular aneursym on the left middle cerebral artery (MCA) bifurcation underwent emergency operation. Before the operation lum...

Background Subdural hematoma (SDH) after accidental dural puncture (ADP) is rare but may be lethal. We experienced a patient who developed SDH after combined spinal and epidural anesthesia without a headache. Case presentation A 41-year-old parturient female with an unruptured cerebral aneurysm, was scheduled to undergo elective cesarean delivery. Cerebrospinal fluid leakage was identified du...

BACKGROUND The aim of the current study was to investigate the effect of administration of cosyntropin after accidental dural puncture (ADP) on the incidence of postdural puncture headache (PDPH) and the need for therapeutic epidural blood patch (EBP). METHODS Ninety parturients who suffered an ADP were studied. After delivery, patients were randomly assigned to one of two equal-sized groups....

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Background: Post dural puncture headache (PDPH) is a known and potentially debilitating complication of neuraxial anesthesia that can impede patient recovery. The conventional treatment includes hydration symptomatic like simple analgesics. Those who have unremitting symptoms following conservative measures are offered an epidural blood patch (EBP). However, EBP, invasive procedure, associated ...

Postpartum headache is a common complaint faced by most obstetricians, with over 39% of women having in the first postpartum week. With increasing use labour epidural analgesia, incidence postdural puncture (PDPH) due to inadvertent dural 0.5-1%. Most treatment modalities relieve symptoms PDPH minimizing compensatory cerebral vasodilatation, or sealing site. Treatment options include, conservati...