Epidural Blood Patch For Postdural Puncture Headache - A Prospective Study of 60 Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Spinal anaesthesia is used widely now a days. This dural puncture is associated with CSF leak which decreases the intracranial pressure and causes headache. The incidence of postdural puncture headache was around 66% in 1898. With the advent of 22G to 29G spinal needles, the incidence decreased to 11%. The aim of present study was to assess the effectiveness of epidural blood patch in treating postdural puncture headache. Material and methods: A total of 60 patients were involved in this prospective study. All the patients received epidural blood patch for postdural puncture headache. Lumbar epidural puncture was performed at the site of previous puncture or as chosen by the operator. 22 ± 5 ml of blood from anticubital vein was injected in the absence of any pain. Age, height and gender of the patients were noted. The size of the needle used, difficulties encountered during puncture were also noted. Presence of clinical symptoms, delay between dural puncture and EBP and level of EBP were also noted. NCSS software was used for analysis. Fisher test or unpaired t test was used for analysis. Result: Majority of the patients presented with neck pain (87.5%) and heachache (96%). Vestibular signs like nausea and vomiting were present in 69.6% of patients. Cochlear signs were present in 35.7% cases and ocular signs were present in 35.7% cases. The volume of injected blood was 22 +/- 5 ml. Complete relief of symptoms occurred in 75% cases and 25% patients had incomplete relief. The failure rate was only 6%. Conclusion: Espidural blood patch is an effective treatment option for postdural puncture headache. According to our study it offered a success rate of 93.3%.
Authors and Affiliations
Arun Deka
Keywords
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