We report the case of a 25-year-old woman, who received epidural analgesia for labour pain and subsequently presented post-dural puncture headache. Conservative treatment was applied and epidural blood patch was performed. In the absence of clinical improvement and due to changes in the postural component of the headache, a brain imaging test was performed showing a bilateral subdural hematoma....

UNLABELLED BACKGROUND Epidural Anesthesia (EA) is a well-established procedure. The aim of the present study was to evaluate the incidence of immediate complications following epidural puncture, such as sanguineous puncture, accidental dural perforation, unsuccessful catheter placement or insufficient analgesia and to identify patient and maneuver related risk factors. METHODS A total of 7...

A 29-YR-OLD healthy parturient developed positional frontoparietalheadacheafteraccidentalduralpuncture during attempted placement of an epidural catheter. The headache improved with hydration, bed rest, and analgesics. However, it persisted (without postural component) at the 2week interval. Neurologic examination was normal. Magnetic resonance imaging showed the presence of bilateral frontopar...

BACKGROUND Post-dural puncture headache (PDPH) is the most frequent complication of procedures associated with dural puncture for spinal anesthesia or following accidental dural puncture during epidural anesthesia. Since invasive treatments have known complications, pharmacologic management may be preferable. The aim of this study was to evaluate and compare the efficacy of theophylline and Ace...

post spinal puncture headache (psph) is a well known complication of spinal anesthesia. it occurs after spinal anesthesia induction due to dural and arachnoid puncture and has a significant effect on the patient’s postoperative well being. this manuscript is based on an observational study that runs on babol university of medical sciences and review of literatures about current concepts about t...

rhythms (for example, by temporary transcutaneous pacing, magnet). • The often-given recommendation of application of the 'current in a fashion that it will not cross the generator ⁄ lead ⁄ chest system' might be of less relevance than currently thought. In our case, repositioning the return electrode away from the apex of the heart did not result in any change of the current necessary to trans...

conclusions there is no difference between median and paramedian approaches with respect to pdph incidence; the paramedian approach is therefore recommended, especially for older patients with degenerative changes in the spine and intervertebral spaces and those who cannot take the proper position. moreover, the rate of pdph was found to be significantly higher in females than in males. results...