VISUALIZATION OF EXTRADURAL BLOOD PATCH FOR POST LUMBAR PUNCTURE HEADACHE BY MAGNETIC-RESONANCE-IMAGING

被引:38
作者
GRIFFITHS, AG
BEARDS, SC
JACKSON, A
HORSMAN, EL
机构
[1] MANCHESTER ROYAL INFIRM,DEPT ANAESTHET,MANCHESTER M13 9WL,LANCS,ENGLAND
[2] MANCHESTER ROYAL INFIRM,DEPT NEURORADIOL,MANCHESTER M13 9WL,LANCS,ENGLAND
关键词
ANESTHETIC TECHNIQUES; EXTRADURAL; COMPLICATIONS; POST LUMBAR PUNCTURE HEADACHE; MEASUREMENT TECHNIQUES; MAGNETIC RESONANCE IMAGING;
D O I
10.1093/bja/70.2.223
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe a case of post lumbar puncture headache treated by extradural blood patch. Magnetic resonance imaging (MRI) demonstrated a large extradural haematoma extending over four spinal segments and extending out through the neural outlet foramina. There was significant compression of the thecal sac, supporting the theory that extradural blood patch causes tamponade at the site of dural puncture. The spread of clot was predominantly upwards from the injection site and subarachnoid extension of blood was also demonstrated.
引用
收藏
页码:223 / 225
页数:3
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