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Post-dural puncture headache.
MedLine Citation:
PMID:  22287846     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Ahmed Ghaleb; Arjang Khorasani; Devanand Mangar
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Publication Detail:
Type:  Journal Article     Date:  2012-01-12
Journal Detail:
Title:  International journal of general medicine     Volume:  5     ISSN:  1178-7074     ISO Abbreviation:  Int J Gen Med     Publication Date:  2012  
Date Detail:
Created Date:  2012-01-30     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101515487     Medline TA:  Int J Gen Med     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  45-51     Citation Subset:  -    
Affiliation:
Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR.
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