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Epidural dextran 40 patch for postdural puncture headache
Author(s) -
Reynvoet M. E. J.,
Cosaert P. A. J. M.,
Desmet M. F. R.,
Plasschaert S. M.
Publication year - 1997
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1997.183-az0320.x
Subject(s) - medicine , epidural blood patch , dextran , anesthesia , surgery , complication , biochemistry , chemistry
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