Related Experiment Video

Updated: Dec 8, 2025

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
09:00

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects

Published on: October 2, 2014

14.0K

Management of postdural puncture headache in pediatric using an epidural catheter for an epidural blood patch

Adnan Al Wosaibai1, Ahmed Alfaraj1, Abduladem K Alshabeb1

  • 1Department of Anesthesia, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Saudi Journal of Anaesthesia
|September 16, 2020
PubMed

Insights

A child experienced postdural puncture headache after multiple lumbar punctures. An epidural blood patch successfully treated the headache, demonstrating its efficacy in pediatric cases.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Anesthesiology

Background:

  • Postdural puncture headache (PDPH) is a potential complication following lumbar puncture.
  • Multiple lumbar punctures increase the risk of PDPH, particularly in pediatric patients.

Observation:

  • An 8-year-old child presented with symptoms suggestive of PDPH, including headache, nonprojectile vomiting, and lethargy.
  • Conservative management strategies for PDPH were unsuccessful in alleviating the child's symptoms.

Findings:

  • Magnetic resonance imaging (MRI) was utilized to determine the depth of the epidural space.
  • An epidural blood patch (EBP) procedure was performed, leading to successful resolution of the patient's headache.
  • An epidural catheter was left in situ for potential future interventions.

Implications:

  • This case highlights the effectiveness of epidural blood patching in managing refractory postdural puncture headaches in children.
  • The use of MRI to guide EBP placement may improve procedural accuracy and outcomes.
  • Early and effective intervention with EBP can significantly improve patient recovery and reduce morbidity.

Keywords:
Anesthesiachildconservative treatmentepiduralepidural blood patchepidural spaceheadachemagnetic resonance imagingpostdural puncture headachespinal puncture, vomiting

More Related Videos

Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model08:18

Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model

Published on: February 8, 2022

2.7K
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

9.3K

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
613
Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
406
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
268
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
473
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
514
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
165