Epidural dextran 40 patch for postdural puncture headache.
case_report · Level V
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- Record sourced from PubMed, PMID 9349072.
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Abstract
We report a case where two consecutive blood patches failed to relieve postdural puncture headache and hearing loss following inadvertent dural puncture. Initial conservative therapy with analgesics, fluids and later two blood patches had no effect and the patient's symptoms only resolved after an epidural dextran 40 patch performed 8 weeks after the dural tap. Two months later, the patient is still asymptomatic.
Medical subject headings
- Anesthesia, Epidural
- Dextrans
- Dura Mater
- Headache
- Plasma Substitutes