Titre :
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Successful treatment of a recurrent post-dural puncture headache with an epidural blood patch 18 months after the initial dural puncture (2020)
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Auteurs :
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A. Spring ;
R. McMorrow
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Type de document :
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Article : texte imprimé
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Dans :
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Midirs. Midwifery Digest (Vol. 30, n° 2, June 2020)
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Article en page(s) :
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p. 244-246
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Langues:
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Anglais
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Sujets :
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Paramédical (MeSH)
Anesthésie péridurale
;
Céphalée
;
Céphalée post-ponction durale
;
Colmatage sanguin épidural
;
Complications
;
Présentations de cas
;
Relations mère-enfant
;
Thérapeutique
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Résumé :
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Inadvertent dural puncture is a recognised complication of epidural insertion. Parturients are at increased risk of developing a post-dural puncture headache, which can be debilitating for a mother caring for a newborn infant. Epidural blood patch is an effective treatment in patients presenting acutely with post-dural puncture headaches but its efficacy in those with delayed presentation or with late recurrent post-dural puncture headache is less clear. We present the case of a woman with a recurrent post-dural puncture headache who was successfully treated with an epidural blood patch 18 months after the initial dural puncture. Patients who develop post-dural puncture headaches may remain symptomatic for some time and an epidural blood patch may be beneficial, following appropriate investigation.
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