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Epidural blood patches are effective for postdural puncture headache in pediatrics--a 10-year experience

Merja Kokki1, Sari Sjövall, Hannu Kokki

  • 1Department of Anesthesia and Operative Services, Kuopio University Hospital, Kuopio, Finland. hannu.kokki@kuh.fi

Paediatric Anaesthesia
|September 28, 2012
PubMed

Insights

Epidural blood patches (EBPs) are highly effective for treating severe postdural puncture headaches (PDPH) in pediatric patients when conservative methods fail. This study found EBPs provided significant symptom relief and a high success rate in children and adolescents.

Area of Science:

  • Pediatric Anesthesiology
  • Neurology
  • Pain Management

Background:

  • Postdural puncture headache (PDPH) is a common complication following lumbar punctures (LP).
  • Epidural blood patch (EBP) is a treatment option for severe PDPH unresponsive to conservative management.

Purpose of the Study:

  • To evaluate the necessity and efficacy of EBPs in pediatric and adolescent patients.
  • To analyze EBP outcomes over a 10-year period at two hospitals.

Main Methods:

  • Retrospective chart review of patients who received EBPs.
  • Comparison of pediatric patient records with PDPH characteristics and symptomology.
  • Evaluation of EBP effectiveness.

Main Results:

  • Forty-two EBPs were performed on 41 pediatric and adolescent patients (3-18 years).
  • The initial success rate for EBP was 90%, with 85% achieving permanent relief.
  • No serious adverse effects associated with EBPs were reported.

Conclusions:

  • EBP is a highly effective procedure for pediatric patients experiencing severe PDPH.
  • EBP should be considered when conservative treatments for PDPH are insufficient.
Abstract

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