Treatment of post-dural puncture headache using epidural injection of fibrin sealant as an alternative to autologous epidural blood patch (case report)

Background: Post dural puncture headache (PDPH) is an iatrogenic cause of patient morbidity in pain management after spinal or epidural anaesthesia, as well as after diagnostic lumbar puncture. Most patients respond to conservative treatment or to epidural blood patch, yet limited options for effective treatment are available for patients who fail these treatments or present with theoretical contraindication. Case report: We present a case of a patient with previously diagnosed human immunodeficiency virus and hepatitis C, who presented with signs of PDPH, which placed him at a theoretical risk of meningeal seeding of the virus during the blood patching procedure. Conclusion: We successfully treated the post dural puncture headache and avoided the risk of viral seeding of the meninges by using a fibrin sealant.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Treatment of post-dural puncture headache using epidural injection of fibrin sealant as an alternative to autologous epidural blood patch (case report) ; volume:5 ; number:3 ; year:2014 ; pages:170-172 ; extent:3
Scandinavian journal of pain ; 5, Heft 3 (2014), 170-172 (gesamt 3)

Urheber
Atallah, Joseph
Gage, Emmanuel
Koning, Jonathan
Duggan, Joan
Ramsey-Williams, Vicki
Scott, Samuel
Gaudin, Daniel
Sarhan, Mazin

DOI
10.1016/j.sjpain.2014.04.002
URN
urn:nbn:de:101:1-2024022713415579034327
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:53 MESZ

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Beteiligte

  • Atallah, Joseph
  • Gage, Emmanuel
  • Koning, Jonathan
  • Duggan, Joan
  • Ramsey-Williams, Vicki
  • Scott, Samuel
  • Gaudin, Daniel
  • Sarhan, Mazin

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