Pain Management Case Reports最新文献

筛选

英文中文

Multiple Fibrin Glue Use in a Complicated Case of PostduralPuncture Headache Following Intrathecal Drug Delivery SystemPlacement: A Case Report 多种纤维蛋白胶治疗鞘内给药系统置入硬膜穿刺后头痛1例

Pain Management Case Reports Pub Date : 1900-01-01 DOI: 10.36076/pmcr.2019/3/77

M. Chung

{"title":"Multiple Fibrin Glue Use in a Complicated Case of Postdural\u0000Puncture Headache Following Intrathecal Drug Delivery System\u0000Placement: A Case Report","authors":"M. Chung","doi":"10.36076/pmcr.2019/3/77","DOIUrl":"https://doi.org/10.36076/pmcr.2019/3/77","url":null,"abstract":"A postdural puncture headache (PDPH) is a\u0000well-described complication after implantation\u0000of an intrathecal drug delivery system (IDDS).\u0000Treatment is typically with supportive management\u0000with the occasional need for an epidural\u0000blood patch. We describe a case of a patient with\u0000refractory muscle spasticity secondary to cerebral\u0000palsy that required a baclofen IDDS implantation\u0000and subsequently developed a PDPH. After failing\u0000conservative therapy as well as an epidural\u0000blood patch, the decision was made to attempt\u0000an epidural fibrin patch, which transiently improved\u0000her headache. Upon return of the patient’s\u0000symptoms, computed tomography myelogram\u0000demonstrated an extensive cerebrospinal fluid\u0000leak with ventral spread into the retroperitoneal\u0000space. Using a novel technique, a second epidural\u0000fibrin glue patch was administered just adjacent to\u0000the IDDS catheter insertion point, which was then\u0000successful in resolving her symptoms.\u0000Key words: Intrathecal drug delivery system,\u0000postdural puncture headache, dural tear, cerebrospinal\u0000fluid (CSF) leak, fibrin glue, epidural\u0000blood patch","PeriodicalId":110696,"journal":{"name":"Pain Management Case Reports","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127819580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页