Concurrently, the postural headache and neck pain continued to hamper the patient's ability to ambulate such that, on day seven post-caesarean (and dural puncture), an epidural blood patch
was performed injecting 38 ml of blood without sequelae.
Epidural blood patch
and rarely surgical intervention may be used in refractory cases.
While a prophylactic blood patch
did not decrease the incidence of PDPH in this study, it did decrease the duration and severity of symptoms.
Cranial subarachnoid hemorrhage as an unusual complication of epidural blood patch
The unusual occurrence of an occult, late-presenting durotomy can be successfully treated non-operatively with an epidural blood patch
, thereby avoiding the need for re-exploration and repair.
The efficacy of epidural blood patch
in spontaneous CSF leaks.
Severe, acute meningeal irritative reaction after epidural blood patch
Postdural puncture headache and extradural blood patch
Autologous blood patch
pleurodesis in spontaneous pneumothorax with persistent air leak.
The patient received a standard epidural blood patch
, and his headache resolved immediately.
Although the exact mechanism by which an epidural blood patch
provides relief of symptoms is controversial, pain relief may be due to the formation of a gelatinous tamponade that stops the CSF leak and provides an immediate elevation of CSF pressure.
The spinal tap generally does not help in diagnosing migraine, however, and may actually cause a post-lumbar puncture headache, which can be severe and require a blood patch
In a study of patients undergoing magnetic resonance imaging after epidural blood patch
procedure to manage postdural puncture headache, Vakharia et a112 demonstrated that a 20-ml epidural blood patch
would produce a hematoma in the posterior epidural space.
The blood patch
appeared within a week of Carmageddon going on sale.
Traditional treatment is a blood patch
, which is just that: a patch of the patient's blood injected over the puncture hole.