| Post-dural puncture headache. | |
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MedLine Citation:
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PMID: 22287846 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Since August Bier reported the first case in 1898, post-dural puncture headache (PDPH) has been a problem for patients following dural puncture. Clinical and laboratory research over the last 30 years has shown that use of smaller-gauge needles, particularly of the pencil-point design, are associated with a lower risk of PDPH than traditional cutting point needle tips (Quincke-point needle). A careful history can rule out other causes of headache. A postural component of headache is the sine qua non of PDPH. In high-risk patients < 50 years, post-partum, in the event a large-gauge needle puncture is initiated, an epidural blood patch should be performed within 24-48 hours of dural puncture. The optimum volume of blood has been shown to be 12-20 mL for adult patients. Complications caused by autologous epidural blood patching (AEBP) are rare. |
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Authors:
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Ahmed Ghaleb; Arjang Khorasani; Devanand Mangar |
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Publication Detail:
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Type: Journal Article Date: 2012-01-12 |
Journal Detail:
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Title: International journal of general medicine Volume: 5 ISSN: 1178-7074 ISO Abbreviation: Int J Gen Med Publication Date: 2012 |
Date Detail:
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Created Date: 2012-01-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101515487 Medline TA: Int J Gen Med Country: New Zealand |
Other Details:
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Languages: eng Pagination: 45-51 Citation Subset: - |
Affiliation:
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Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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