background: accidental dural puncture during epidural blockade is a rare complication. since postdural puncture headache (pdph) is the most frequent complication, a wisely management method will also reduce the incidence of pdph. methods: five patients who had inadvertent dural puncture during the epidural procedure before hip or knee arthroplasty were included in this study. after dural punctu...

there are many studies about epidural fibrosis after surgical manipulation of the spine. we have studied formation of the post laminectomy epidural fibrosis after application of two materials (silicone and teflon) in this report. this expriment is on two groups of rats. two separated laminectomies were done in each rat, one serving as control while in the other laminectomy spaces silicone was u...

conclusions ct epidurography is not closely correlated with a clinical assessment of epidural block; thus, a clinical assessment of the sensory block is mandatory. the use of opioid analgesia in combination with local anesthetics may compensate for the lack of efficacy of local anesthetics alone. objectives the primary objective of this study was to evaluate, by ct imaging and digital multiplan...

A 35-YR-OLD woman presented with a postdural puncture headache for epidural blood patch. The procedure was performed in the lateral position. A curvilinear ultrasound probe with sterile cover was used to visualize the epidural space. A 20-G epidural needle was used to identify the space by the loss-of-resistance technique. Blood was then injected into the epidural space under real-time ultrasou...

A MALE patient, 73 yr old, had a Flexitip Plus (Arrow International, Reading, PA) 19gauge end-hole, wire-reinforced thoracic epidural catheter inserted for postthoracotomy pain management. He underwent highresolution spiral computed tomography scan with the catheter in situ before its use to evaluate previous bronchoscopic findings. A composite set of sagittal computed tomography images (figs. ...