Topical Sphenopalatine Ganglion Block Compared With Epidural Blood Patch
for Postdural Puncture Headache Management in Postpartum Patients: A Retrospective Review 2018; 43: 880-84.
Two rare complications of the epidural blood patch
are epidural abscess and nerve compression resulting in transient, or less frequently, permanent neurologic damage.
Although EBP has traditionally been administered blindly to the lumbar epidural region, increasing reports have shown that effective treatment requires targeted thoracic or cervical blood patches
to control CSF leakage (5).
Occult cervical (C12) dural tear causing bilateral recurrent subdural hematomas and repaired with cervical epidural blood patch
. J Neurosurg Spine.
Autologous blood patch
pleurodesis in the management of prolonged air leak.
Recurrent postpartum seizures after epidural blood patch
. Br J Anaesth 2003; 90:247-250.
SIH can be treated conservatively or with epidural blood patches
which are now widely being used to repair dural tears, and their effectiveness is being recognized.
Successful treatment of dural puncture headache with epidural saline infusion after failure of epidural blood patch
. Case report.
Although 20 mL is the most commonly used volume for therapeutic epidural blood patch
(EBP), some experts have advocated using smaller or larger volumes.
Epidural blood patch
may be employed through the caudal approach directly through the epidural needle and does not require the placement of a catheter to ensure cephalad spread.
We treated him with a standard epidural blood patch
. Immediately after treatment, his hearing improved and his headache resolved.
Give intravenous fluids and analgesia, and consider administering a blood patch
. If the headache still doesn't respond to therapy, perform cerebral imaging.
Autologous epidural blood patch
is used to treat the CSF leak, even when MRI has not located the exact site of the leak.