Anaesthesia and Critical Care Medicine Journal (ACCMJ)

ISSN: 2577-4301

Case Report

Epidural Blood Patch for Post Dural Puncture Headache Management: Our First Experience

Authors: Shrestha A*, Parajuli B, Thapa N, Oli S, Baral D and Yadav R

DOI: 10.23880/accmj-16000199

Abstract

Cerebrospinal fluid (CSF), the principle physiological pillar of brain. Floating in the sub-arachnoid space, presence of CSF resembles a castle surrounded by a moat, providing the neuronal tissue fortification it needs. Following a procedural dural breach, probable leakage of CSF may weaken this fortification, thus leading to most common and worrisome adverse effect i.e. post dural puncture headache (PDPH). Our case report presents one of the very first and successful epidural blood patches (EBP) technique for the management of PDPH in post-partum cases, being practiced in this leading tertiary care of the nation, Tribhuvan University Teaching Hospital.

Keywords: Cerebrospinal Fluid; Blood Patch; Epidural; Postpartum Period; Post-Dural Puncture Headache

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