• Title/Summary/Keyword: Postdural puncture back pain

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Development of Postdural Puncture Headache Following Therapeutic Acupuncture Using a Long Acupuncture Needle

  • Jo, Dae-Jean;Lee, Bong-Jae;Sung, Joon-Kyung;Yi, Jae-Woo
    • Journal of Korean Neurosurgical Society
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    • v.47 no.2
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    • pp.140-142
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    • 2010
  • Acupuncture appears to be a clinically effective treatment for acute and chronic pain. A considerable amount of research has been conducted to evaluate the role that acupuncture plays in pain suppression; however, few studies have been conducted to evaluate the side effects of the acupuncture procedure. This case report describes a suspected postdural puncture headache following acupuncture for lower back pain. Considering the high opening pressure, cerebrospinal fluid leakage, and the patient's history of acupuncture in the lower back area, our diagnosis was iatrogenic postdural puncture headache. Full relief of the headache was achieved after administration of an epidural blood patch.

A Clinical Study on Relationship of Surgical Glove and Back Pain after Lumbar Puncture in Children (소아에서 요추천자 후 발생하는 요통과 수술용 장갑과의 관계에 대한 임상적 연구)

  • Han, Sung Ryoung;Choi, Wan Suk;Lee, Hae Jeong;Kim, Hyun Seok;Lee, Ju Suk;Cho, Kyung Lae
    • Clinical and Experimental Pediatrics
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    • v.48 no.3
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    • pp.310-314
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    • 2005
  • Propose : In this study, we evaluated whether powder on surgical gloves is a cause of postpuncture backpain in children. Mothods : In 164 children with meningitis between July and September 1997, we did not remove powder from surgical gloves. However, in 149 children with menigitis between May and October 2001 the powder was removed from the surgical gloves. Results : Out of the 164 patients in 1997, 41 cases(25.00%) were found to have postdural puncture backpain. On the other hand, out of 149 patients in 2001, with whom we used gloves from which the powder was removed, we found only 8 patients(5.36%) with postdural puncture backpain. Conclusion : We conclude that the powder on surgical gloves is one of the main causes of postdural puncture backpain in children.

Autologous Epidural Blood Patch for the Treatment of Headache in Post-Dural Puncture -Report of 37 cases- (요부경막천자후 발생된 두통치료 -자가혈액봉합 37예-)

  • Lee, Sung-Keun;Kim, Tae-Jung;Kim, Yong-Ik;Kim, Il-Ho;Song, Hoo-Bin;Kim, Soon-Im;Park, Wook;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.2 no.1
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    • pp.89-93
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    • 1989
  • We performed the autologous epidural blood patch (AEBP) for the relief of headache and other related symptoms following dural punctures of the lumbar region during 8 years from 1981 to 1988. The total of 37 patients with the patching consisted of 9 cases in 3007 of spinal anesthesia, 12 accidental dural punctures in 4283 cases of lumbar epidural anesthesia, 12 cases in 4747 of epidural analgesia for back pain control, 3 cases of myelography and a case of diagnostic lumbar puncture. The headaches were relieved completely in 35 cases following the first AEBP and the remaining two were also relieved following the second AEBP. We think that the AEBP for postdural-puncture headache is the treatment of choice.

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