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Cervical dural puncture and lumbar extradural blood patch

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Abstract

The authors report the successful treatment of post-dural puncture headache, consequent to a cervical durai puncture, with a lumbar extradural blood patch. The increase in intracranial pressure generated by the injection of autologous blood in the extradural space seems to be the likely mechanism for the prompt relief of post-dural puncture headache. We conclude that extradural injection of autologous blood at the same level of the durai puncture may not be necessary.

Résumé

Les auteurs rapportent la réussite du traitement par un blood patch épidural lombaire d’une céphalée post-durale consécutive à une ponction cervicale de la dure-mère. L’augmentation de la pression intracranienne générée par l’injection de sang autologue dans l’espace epidural semble constituer un mécanisme plausible du soulagement rapide de la céphalée post-durale. Les auteurs concluent que l’injection épidurale de sang autologue au même niveau que la ponction peut ne pas être nécessaire.

References

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Author information

Correspondence to Pietro Colonna-Romano.

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Colonna-Romano, P., Linton, P. Cervical dural puncture and lumbar extradural blood patch. Can J Anaesth 42, 1143–1144 (1995). https://doi.org/10.1007/BF03015104

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Key words

  • anaesthetic techniques: extradural
  • complications: post-dural puncture headache